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Related Experiment Videos

Gastrointestinal phytobezoar in children.

C C Lou1, J N Lin, K L Wang

  • 1Department of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.

Changgeng Yi Xue Za Zhi
|September 1, 1990
PubMed
Summary

Gastrointestinal phytobezoars, often caused by persimmon ingestion in children, can lead to obstruction. Surgical intervention and thorough examination are crucial for effective treatment and prevention of recurrence.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Digestive Diseases

Background:

  • Phytobezoars, formed from undigested plant matter, are the most common cause of bezoar-related gastrointestinal obstruction.
  • Children are susceptible to phytobezoar formation, particularly after consuming fruits like persimmons.

Purpose of the Study:

  • To analyze cases of pediatric gastrointestinal phytobezoars.
  • To identify common causes, locations, and effective treatment strategies for phytobezoars in children.

Main Methods:

  • Retrospective analysis of 11 pediatric gastrointestinal phytobezoar cases over 8 years (1981-1988).
  • Review of patient history, symptom onset, dietary factors (especially persimmon ingestion), bezoar location, and surgical interventions.

Main Results:

  • Persimmon ingestion was linked to symptoms in 6 out of 11 pediatric patients.
  • Most cases occurred in late fall and winter; common locations included the ileum and jejunum.
  • Emergency laparotomy was performed for intestinal obstruction, with fragmentation and surgical manipulation as primary treatments.

Conclusions:

  • Persimmon consumption is a significant risk factor for pediatric phytobezoar formation.
  • A detailed dietary history is vital for preoperative diagnosis.
  • Comprehensive intraoperative examination of the gastrointestinal tract is essential to prevent recurrent obstruction.

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