scholarly journals TRICHOBEZOARS IN CHILDREN ON THE EXAMPLE OF CLINICAL CASES

2021 ◽  
Vol 11 (2(40)) ◽  
pp. 60-63
Author(s):  
V. Pokhylko ◽  
E. Grytsenko ◽  
N. Adamchuk ◽  
Yu. Cherniavska ◽  
O. Boduliev

The formation of trichobezoars is a rareclinical condition that develops primarily as a result ofmental illness. Literature data indicate that trichobezoarsare most often found in children. The presence of a bezoarcan lead to serious complications such as erosion of thestomach lining, peptic ulcer disease, and even perforation ofthe stomach or small intestine. Treatment options for gastrictrichobezoars range from endoscopic removal, dissolution,and mechanical hydrojet crushing of small bezoars tosurgical removal of giant bezoars. The presented clinicalcases prove the danger caused by trichobezoar. Cases ofthe formation of a trichobezoar with a clinic of intestinalobstruction in an adolescent girl, and a trichobezoar ofthe blind end of the esophagus and a clinic of respiratoryfailure in a small child with a congenital malformation ofthe esophagus are described. This pathology can occur atany age, have an atypical clinical picture and, in case ofuntimely treatment, lead to tragic consequences. In addition,it is necessary to use a multidisciplinary approach to themandatory provision of psychological (or psychiatric) carefor children, to teach parents to take care of a child who isprone to trihotilomaniа and trichophagia.

1934 ◽  
Vol 30 (2) ◽  
pp. 241-251
Author(s):  
R. A. Luria

In spite of the fact that exactly one hundred years have passed since Cruveilhier described with inimitable for those times clarity the clinical picture and anatomical substrate of peptic ulcer, the interest to this mysterious disease not only has not weakened, but has considerably revived in recent years. Therapists and surgeons, pathophysiologists and radiologists are equally interested in the problem of peptic ulcer and compete in solving two main, closely related problems - the question of pathogenesis and the question of rational treatment of peptic ulcers.


2017 ◽  
Vol 1 (1) ◽  
pp. 01-04
Author(s):  
Swathi Goli

Peptic ulcer disease (PUD) is a prevalent disease, it affecting around 5-10% of the general population worldwide, but with notable regional and racial variations. The two most common etiological causes are the chronic infection with Helicobacter pylori (Hp) and the use of non-steroidal anti-inflammatory drugs (NSAIDs). Its diagnosis is based mainly in the endoscopy and the active search of concomitant Hp presence. The discovery of the link between H. pylori and peptic ulcer has changed dramatically its management, because it has become a curable infectious disease. The eradication therapy of is the best choice to achieve the final cure of PUD in infected patients. Several current international recommend a standard triple therapy as first-line therapy, including a proton pump inhibitor and a combination of amoxicillin and clarithromycin. This combination therapy has shown a decreased efficacy over the years. The main reason is increasing antibiotic resistance, particularly to clarithromycin and metronidazol, of certain Hp strains. Several new treatment options or modifications of already established regimens have been introduced in last years, to overcome these treatment failures. For the subgroup of patients with H. pylorinegative ulcers, avoiding NSAIDs intake also has a clear influence in evolution of the disease and in some cases drives to the complete healing of the peptic ulcer. In refractory or recurrent cases, continuous therapy with anti-secretory agents and/or the replacement of conventional NSAIDs by selective drugs for inhibition of cyclooxygenase-2 (COX-2) are useful treatment options.


2001 ◽  
Vol 120 (5) ◽  
pp. A136-A137
Author(s):  
K TSAMAKIDES ◽  
E PANOTOPOULOU ◽  
D DIMITROULOPOULOS ◽  
M CHRISTOPOULO ◽  
D XINOPOULOS ◽  
...  

2001 ◽  
Vol 120 (5) ◽  
pp. A491-A491
Author(s):  
G GONZALEZSTAWINSKI ◽  
J ROVAK ◽  
H SEIGLER ◽  
J GRANT ◽  
T PAPPAS

1953 ◽  
Vol 25 (2) ◽  
pp. 173-201 ◽  
Author(s):  
William S. Haubbich ◽  
James L.A. Roth ◽  
H.L. Bockus

JMS SKIMS ◽  
2012 ◽  
Vol 15 (2) ◽  
pp. 136-140
Author(s):  
G M Gulzar ◽  
Showkat A Zargar ◽  
Muzaffar Nazir ◽  
Gul Javid ◽  
Bashir A Khan ◽  
...  

BACKGROUND: Since late 1960s, the prevalence of peptic ulcer disease and its complications has been steadily decreasing. OBJECTIVE: To ascertain the changing trends in the prevalence and complications of peptic ulcer in Kashmir. METHODS: A cohort of 10474 people aged 15-60 years in district Baramulla of Kashmir was interviewed about symptoms, complications, and surgery related to peptic ulcer. People were enquired about smoking, use of NSAIDs, H2 Receptor antagonists, proton pump inhibitors and endoscopies. All symptomatic and randomly selected group of asymptomatic people underwent esophago-gastro-cluodenoscopy. RESULTS: In symptomatic group, 286 (41.45%) people hod peptic ulcer and in asymptomatic group 24 (5.35%) had peptic ulcer. There were 71 already diagnosed cases of peptic ulcer; totaling 381. Thirty three people had surgery for peptic ulcer. The point prevalence of peptic ulcer was 3.54% and lifetime prevalence 8.96%. The highest prevalence was in 4th decade. Bleeding was seen in 23.63%, gastric outlet obstruction 4.20%, ulcer perforation 0.52%. 9.39% of peptic ulcer patients had undergone surgery. When compared to previous study in 1985 in Kashmir, there was decrease in point prevalence of 25%, in life-time prevalence of 20.14%, Gastric outlet obstruction by 51.7%, ulcer perforation by 87%, surgery rate by 60% and bleeding by a marginal 2%. CONCLUSION: Prevalence of peptic ulcerand its complications (except bleeding) are showing downward trend in Kashmir over the last 20 years. JMS 2012;15(2):136-40


Sign in / Sign up

Export Citation Format

Share Document