How should trichobezoar be treated in children?

Gülerman, Fulya; Güven, Burcu; Demir, Sabri̇; Özmen, İsmail

doi:10.5152/tjg.2018.18423

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…Ota et al reported a case of tannin‐phytobezoars endoscopically removed with the administration and injection of Coca‐Cola 9 . Gülerman et al also used a combination of oral and direct endoscopic injection of Coca‐Cola to trichobezoars, the hair mass was difficult to divide and remove completely 10 . The method of Coca‐Cola injection has not been described.…”

Section: Discussionmentioning

confidence: 99%

“… 9 Gülerman et al also used a combination of oral and direct endoscopic injection of Coca‐Cola to trichobezoars, the hair mass was difficult to divide and remove completely. 10 The method of Coca‐Cola injection has not been described. However, in the present case, we injected Coca‐Cola in small increments onto the surface or inside the bezoar using an injection needle.…”

Section: Discussionmentioning

confidence: 99%

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Trichobezoar effectively treated with direct endoscopic injection of Coca‐Cola: A case report

Matsuoka,

Masuda,

Fujita

et al. 2023

DEN Open

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Trichobezoars (hair bezoars) are primarily observed in adolescent girls who pull their hair followed by its ingestion. Endoscopic removal of trichobezoars is challenging, and these masses often require surgical removal. Recently, although it has been reported that Coca‐Cola could effectively dissolve persimmon phytobezoars, it was ineffective in dissolving trichobezoars. We report a case in which Coca‐Cola was directly injected into a trichobezoar followed by successful endoscopic removal of the mass. A 9‐year‐old girl visited our hospital with abdominal pain and nausea, wherein abdominal radiography revealed a mass in the stomach. Her mother witnessed her pulling and ingesting her hair 6 months previously. An upper endoscopy was performed for diagnosis of the trichobezoar. Endoscopic removal of the mass was performed under general anesthesia following oral administration of Coca‐Cola at a dose of 100 mL thrice a day for 10 days. Initially, we attempted endoscopic extraction using grasping forceps and a radiofrequency snare. However, the bezoar could not be fragmented and did not pass through the cardia. Thus, Coca‐Cola was injected directly into the bezoar using a local injection needle, which facilitated the separation of the bezoar and allowed the grasping forceps to fragment it to a size that could pass through the cardia. Owing to the large size of the bezoar, we could remove 180 g of it without complications. The patient received psychological counseling after the procedure, to prevent recurrence. In conclusion, direct injection of Coca‐Cola was effective in the complete endoscopic removal of trichobezoars.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Trichobezoar effectively treated with direct endoscopic injection of Coca‐Cola: A case report

Matsuoka,

Masuda,

Fujita

et al. 2023

DEN Open

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“…In some selected cases, agents such as coke were applied endoscopically, in others, the hair ball was cut with the help of endoscopic scissors. 10 Until now less than ten reports of attempted laparoscopic removal were published thanks to risk of spilling contaminated hair fragments into the abdominal cavity and difficulty to remove the hair ball. 3 Laparotomy is still first choice of treatment with high effect and low complication rate.…”

Section: Discussionmentioning

confidence: 99%

Rapunzel Sendromuna Bağlı İntestinal Obstrüksiyonun Farklı Bir Klinik Sunumu: İshal

Taşçı¹,

Yıldız

2021

Online Türk Sağlık Bilimleri Dergisi

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Trikobezoar yutulan saç veya saç benzeri maddelerin mide ve/veya ince barsakda birikimine denilir. Midede biriken saç topunun nadiren de olsa piloru geçerek ince barsaklara hatta kolona ulaşmasına Rapunzel sendromu denilmektedir. Klinik bulgular ve tedavi yöntemleri saç topunun büyüklük ve konumuna göre değişmektedir. Literatürde trikobezoarlar hakkında sınırlı sayıda yayın olmak ile beraber trikobezoar nedeniyle gelişen intestinal obstrüksiyon sonrası ishal ile acil servise başvuru hakkında yayın yoktur. Yazımızda acil servisimize Rapunzel sendromuna bağlı intestinal obstrüksiyon sonrası ishal ve kusma ile başvuran bir hastayı sunacağız.

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“…За статистикою 20% пацієнтів страждають на повторні трихобезоари. Тому важливий мультидисциплінарний підхід до лікування таких дітей, з обов'язковим залученням психологів, враховуванням психоемоційного оточення дитини та навчанням батьків щодо профілактики трихотіломанії [10].…”

Section: випадки з практики / Cases From Practiceunclassified

Trichobezoars in Children on the Example of Clinical Cases

Похилько¹,

Grytsenko²,

Adamchuk³

et al. 2021

Neonatol. hìr. perinat. med.

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The formation of trichobezoars is a rareclinical condition that develops primarily as a result ofmental illness. Literature data indicate that trichobezoarsare most often found in children. The presence of a bezoarcan lead to serious complications such as erosion of thestomach lining, peptic ulcer disease, and even perforation ofthe stomach or small intestine. Treatment options for gastrictrichobezoars range from endoscopic removal, dissolution,and mechanical hydrojet crushing of small bezoars tosurgical removal of giant bezoars. The presented clinicalcases prove the danger caused by trichobezoar. Cases ofthe formation of a trichobezoar with a clinic of intestinalobstruction in an adolescent girl, and a trichobezoar ofthe blind end of the esophagus and a clinic of respiratoryfailure in a small child with a congenital malformation ofthe esophagus are described. This pathology can occur atany age, have an atypical clinical picture and, in case ofuntimely treatment, lead to tragic consequences. In addition,it is necessary to use a multidisciplinary approach to themandatory provision of psychological (or psychiatric) carefor children, to teach parents to take care of a child who isprone to trihotilomaniа and trichophagia.

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How should trichobezoar be treated in children?

Abstract: Serum resolvin D1 levels as a marker of inflammation in constipation dominant irritable bowel syndrome

Cited by 4 publications

References 4 publications

Trichobezoar effectively treated with direct endoscopic injection of Coca‐Cola: A case report

Trichobezoar effectively treated with direct endoscopic injection of Coca‐Cola: A case report

Rapunzel Sendromuna Bağlı İntestinal Obstrüksiyonun Farklı Bir Klinik Sunumu: İshal

Trichobezoars in Children on the Example of Clinical Cases

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