Formation of a temporary gastrostomy to aid delivery of gastric trichobezoar and decrease incidence of wound...

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Surgical Techniques

Background:

• Trichobezoars, or hairballs, are rare gastrointestinal masses, predominantly affecting females.
• Gastric bezoars in children present with symptoms like abdominal distension, weight loss, and anemia.

Observation:

• Two female pediatric patients presented with significant abdominal distension, weight loss, and anemia.
• Physical examination revealed palpable upper abdominal masses in both cases.
• Initial diagnosis was supported by abdominal radiography and ultrasound, with confirmation via upper endoscopy.

Findings:

• The study details a modified surgical technique involving anchoring gastrostomy edges to the laparotomy skin.
• This modification facilitated easy and complete removal of the hair masses.
• The technique effectively prevented spillage and wound contamination during the procedure.

Implications:

• This surgical modification offers a safer and more efficient method for managing pediatric gastric trichobezoars.
• The approach may reduce complications associated with bezoar removal in children.
• Further research could explore the long-term efficacy and applicability of this technique in similar cases.