Choi S O, Kang J S
Department of Surgery, Keimyung University, Dongsan Medical Center, Taegu, Korea.
J Pediatr Surg. 1988 Apr;23(4):338-41. doi: 10.1016/s0022-3468(88)80202-1.
We reviewed 33 children under the age of 15 with gastrointestinal phytobezoars. Twenty were boys and 13 were girls. Nearly all patients were observed in late fall and winter. In 22 patients, symptoms developed following ingestion of several ripe or dried persimmons with seeds but none had a history of unripe persimmon ingestion. All patients but three underwent enterotomy, gastrotomy, or enterotomy combined with gastrotomy for bezoar removal. The remaining three had small bowel resection due to strangulation. There was a single location of the bezoar in 85% and multiple locations in 15% at operation. Emergency laparotomy was performed on 25 patients who had typical mechanical intestinal obstruction revealed the plain abdominal films. It is not surprising that persimmon is the most common cause of bezoar formation in Korea, because it is a favorite fruit among Koreans, either in hard, soft, or dried variety.
我们回顾了33例15岁以下患有胃肠道植物性胃石症的儿童。其中20例为男孩，13例为女孩。几乎所有患者均在深秋和冬季被观察到。22例患者在食用了几个带籽的成熟或干柿子后出现症状，但均无食用未成熟柿子的病史。除3例患者外，所有患者均接受了肠切开术、胃切开术或肠切开术联合胃切开术以取出胃石。其余3例因绞窄而行小肠切除术。手术中85%的患者胃石位于单一部位，15%的患者胃石位于多个部位。25例经腹部平片显示有典型机械性肠梗阻的患者接受了急诊剖腹手术。柿子是韩国胃石形成最常见的原因并不奇怪，因为它是韩国人喜爱的水果，有硬、软或干等多种品种。
