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Related Experiment Videos

Gastrointestinal phytobezoars in childhood.

S O Choi1, J S Kang

  • 1Department of Surgery, Keimyung University, Dongsan Medical Center, Taegu, Korea.

Journal of Pediatric Surgery
|April 1, 1988
PubMed
Summary

Gastrointestinal phytobezoars in children are often caused by persimmon consumption, particularly during fall and winter. Surgical intervention like enterotomy or gastrotomy is frequently required for removal.

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Area of Science:

  • Pediatric Gastroenterology
  • Surgical Case Review

Background:

  • Phytobezoars, indigestible masses of plant material, can cause gastrointestinal obstruction.
  • Persimmons are a common cause of phytobezoars, especially in regions where they are widely consumed.

Purpose of the Study:

  • To review cases of pediatric gastrointestinal phytobezoars.
  • To identify common causes, clinical presentations, and management strategies.

Main Methods:

  • Retrospective review of 33 pediatric patients diagnosed with gastrointestinal phytobezoars.
  • Analysis of patient demographics, symptoms, causative agents, surgical procedures, and outcomes.

Main Results:

  • 33 children (20 boys, 13 girls) under 15 years old were affected, primarily in late fall and winter.
  • Persimmon ingestion (ripe or dried, with seeds) was the cause in 22 patients.
  • Surgical intervention, including enterotomy and gastrotomy, was necessary for 30 patients; 3 required small bowel resection due to strangulation.

Conclusions:

  • Persimmon is a significant cause of pediatric gastrointestinal phytobezoars in Korea.
  • Prompt surgical intervention is often required for bezoar removal and management of intestinal obstruction.

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