Department of Pediatric Surgery, Harran University, Sanliurfa, Turkey.
Department of Radiology, Harran University, Sanliurfa, Turkey.
Afr J Paediatr Surg. 2023 Jan-Mar;20(1):8-11. doi: 10.4103/ajps.ajps_70_21.
Bezoar is formed as a result of the accumulation of undigested food or foreign substances in the gastrointestinal tract (GIS). The present study aims to investigate the bezoar types seen in children and the aetiological factors involved in bezoar formation.
A total of 16 patients who underwent an endoscopy and/or surgical treatment for bezoar at Harran University, Faculty of Medicine Pediatric Surgery Clinic between 2011 and 2019 were included in the study. The demographic information, laboratory and radiological findings were obtained from the patients' file records.
A total of ten patients (62.5%) were female with a mean age of 7.8 ± 4.9 years. Phytobezoars were detected in ten patients, trichobezoars in two patients, lactobezoar in one patient, and other types in three patients. The aetiological factors were determined to be congenital GIS anomaly in 6 (37.5%) patients; trichotillomania in 2 (12.5%) patients; mental retardation in 2 (12.5%) patients; ingestion of a foreign body during infancy in 2 (12.5%) patients; high intake of high-fibre fruit in 3 (18.5%) patients; and postoperative dysmotility in 2 (12.5%) patients.
Congenital GIS anomalies are mostly responsible for bezoar etiology in children and phytobezoar is the most common type of bezoar.
胃石是由于未消化的食物或异物在胃肠道（GIS）中积聚而形成的。本研究旨在探讨儿童胃石的类型和胃石形成的病因因素。
2011 年至 2019 年期间，在哈兰大学医学院小儿外科诊所，共有 16 名因胃石接受内镜和/或手术治疗的患者纳入本研究。从患者的病历记录中获取了人口统计学信息、实验室和影像学发现。
共有 10 名患者（62.5%）为女性，平均年龄为 7.8±4.9 岁。10 名患者中发现植物性胃石，2 名患者中发现毛发胃石，1 名患者中发现乳酸性胃石，3 名患者中发现其他类型的胃石。病因被确定为 6 名患者（37.5%）先天性 GIS 异常；2 名患者（12.5%）拔毛癖；2 名患者（12.5%）智力迟钝；2 名患者（12.5%）婴儿期吞食异物；3 名患者（18.5%）高纤维水果摄入过多；2 名患者（12.5%）术后运动障碍。
先天性 GIS 异常是儿童胃石病因的主要原因，植物性胃石是最常见的胃石类型。
