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Gastric Trichobezoar

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Xray-image showing the same trichobezoar as above.

Bezoars are foreign peristent bodies of material accumulated in the stomach. A bezoar can consist of different substances. Trichobezoars contains human hair and is a result of ingestion of hair, seen most often in young women. Phytobezoars are made of vegetable fibers and pharmacobezoars of medications. Poor gastric motility can lead to the formation of bezoars. Yeast bezoars is usually a complication of gastric surgery. A bezoar can be asymptomatic or cause diffuse dyspeptic symptoms. Treatment if medical if possible (using enzymatic preparations and drugs that enhance gastric motility, e.g. metoclopramide). Large trichobezoars often need surgical treatment.

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December 12, 2011