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Gastric Trichobezoars in Children: Surgical Overview
Alisha Gupta1, Deepak Mittal1, Maddur Srinivas1
1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
International Journal of Trichology
|August 26, 2017
Summary
Pediatric trichobezoars require surgical removal, often presenting as psychiatric issues. Postoperative gastrostomy tube drainage aids gastric decompression and early oral feeding, preventing prolonged stomach adynamicity.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Psychiatry
Background:
- Trichobezoars in children are often linked to psychiatric conditions like trichotillomania and trichophagia.
- While primarily a psychiatric concern, large trichobezoars necessitate surgical intervention.
- Recurrence prevention requires diligent psychiatric follow-up.
Purpose of the Study:
- To evaluate the management of pediatric gastric trichobezoars.
- To assess the efficacy of postoperative gastrostomy tube drainage.
Main Methods:
- Retrospective review of medical records for children diagnosed with gastric trichobezoars.
- Analysis of patient presentations, surgical interventions, and postoperative outcomes.
Main Results:
- Five pediatric cases (2000-2015) presented with trichobezoars, ranging from asymptomatic masses to bowel obstruction.
- Patients with postoperative gastrostomy tube drainage experienced effective gastric decompression and earlier oral feeding.
- Those without gastrostomy drainage showed prolonged gastric adynamicity and delayed oral feeding.
Conclusions:
- Delayed diagnosis of trichobezoars can lead to significantly distended stomachs that remain adynamic post-surgery.
- Postoperative gastrostomy tube drainage is a viable and effective method for managing gastric decompression in these cases.
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