{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T22:29:43Z","timestamp":1785364183111,"version":"3.55.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose The goal of this study to summarize the clinical features,\n                    treatment and prognosis of children trichobezoar, and to guide the clinical\n                    diagnosis and treatment.<\/jats:p><jats:p>\n          Methods The clinical manifestations, auxiliary examination results,\n                    diagnosis and treatment process and family relationship of 11 cases of children\n                    with trichobezoar in our hospital were analyzed retrospectively.<\/jats:p><jats:p>\n          Results 11 cases were female, 4 cases were divorced single parent family,\n                    and 2 case was left behind child. Six patients were admitted to hospital with\n                    sudden exacerbation of chronic abdominal pain, and four of them had recurrent\n                    vomiting. Five patients were admitted to hospital with acute abdominal pain, and\n                    3 of them had vomiting symptoms; The weight of 1 case was lower than\n                    \u22122\u2009SD, 4 cases were between \u22122\u2009SD ~\n                    \u22121\u2009SD. 6 cases had palpable left upper abdominal mass with mild\n                    tenderness, 1 case only had left upper abdominal tenderness, 4 cases had no\n                    positive abdominal signs; The results of color Doppler ultrasonography in 8\n                    children indicated the strong echo mass in the stomach, and 3 of them showed\n                    that the hyperechoic group extended to duodenum through pylorus. 7 cases had a\n                    tail end extending into the small intestine after removing the gastrolith during\n                    the operation. Four cases were found with jejunal perforation, 2 cases were\n                    treated with intestinal resection and anastomosis, and 2 cases were treated with\n                    intestinal repair. All the children were improved and discharged after\n                    operation.<\/jats:p><jats:p>\n          Conclusion For single parent families or left behind children with a\n                    history of chronic abdominal pain, vomiting and trichophilia, gastric hair\n                    stones should be highly suspected. For large hair stones in the stomach, they\n                    should be removed surgically. During the operation, the small intestine should\n                    be explored routinely to prevent the missed diagnosis of small intestinal\n                    perforation. Psychological guidance should be given to the children and their\n                    parents to prevent recurrence.<\/jats:p>","DOI":"10.1055\/a-1689-0062","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T22:56:14Z","timestamp":1648767374000},"page":"215-220","source":"Crossref","is-referenced-by-count":5,"title":["Treatment of Children Trichobezoar a Retrospective Study of 11\n                    Cases"],"prefix":"10.1055","volume":"234","author":[{"given":"Zhao","family":"HanBin","sequence":"additional","affiliation":[{"name":"Department of General Surgery & Neonatal Surgery, Liangjiang\n                    Wing, National Clinical Research Center for Child Health and Disorders, Ministry\n                    of Education Key Laboratory of Child Development and Disorders, Chongqing Key\n                    Laboratory of Pediatrics., Chongqing Medical University Affiliated\n                    Children\u2019s Hospital, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Chunjiang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, National Clinical Research Center for Child\n                    Health and Disorders, Ministry of Education Key Laboratory of Child Development\n                    and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing Medical\n                    University Affiliated Children\u2019s Hospital, Chongqing,\n                    China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Yi","sequence":"additional","affiliation":[{"name":"Department of General Surgery & Neonatal Surgery, Liangjiang\n                    Wing, National Clinical Research Center for Child Health and Disorders, Ministry\n                    of Education Key Laboratory of Child Development and Disorders, Chongqing Key\n                    Laboratory of Pediatrics., Chongqing Medical University Affiliated\n                    Children\u2019s Hospital, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1067\/mge.2000.108927","article-title":"Small bowel obstruction due to trichobezoar: role of upper endoscopy in\n                    diagnosis","volume":"52","author":"S Alsafwah","year":"2000","journal-title":"Gastrointest Endosc"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1075","DOI":"10.1080\/17474086.2016.1245136","article-title":"Pica as a manifestation of iron deficiency","volume":"9","author":"C Borgna-Pignatti","year":"2016","journal-title":"Expert Rev Hematol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1186\/s12887-018-1097-8","article-title":"Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and\n                    abdominal pain presenting to the pediatric emergency department","volume":"18","author":"G Cannalire","year":"2018","journal-title":"BMC Pediatr"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1097\/mpg.0000000000002779","article-title":"Human and Doll\u2019s Hair in a Gastric Trichobezoar, Endoscopic Retrieval\n                    Hazards","volume":"71","author":"A F Ni\u0163\u0103","year":"2020","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1016\/j.jaac.2012.12.019","article-title":"Age and gender correlates of pulling in pediatric trichotillomania","volume":"52","author":"K E Panza","year":"2013","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e6","DOI":"10.1308\/rcsann.2016.0008","article-title":"Rapunzel syndrome resulting in gastric perforation","volume":"98","author":"J S Parakh","year":"2016","journal-title":"Ann R Coll Surg Engl"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"224","DOI":"10.20524\/aog.2019.0370","article-title":"Pathophysiological and clinical aspects of the diagnosis and treatment of\n                    bezoars","volume":"32","author":"K A Paschos","year":"2019","journal-title":"Ann Gastroenterol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1080\/110241500750009140","article-title":"Intestinal perforation by foreign bodies","volume":"166","author":"A Pinero Madrona","year":"2000","journal-title":"Eur J Surg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"65","DOI":"10.2214\/ajr.177.1.1770065","article-title":"Gastrointestinal bezoars: sonographic and CT characteristics","volume":"177","author":"T Ripoll\u00e9s","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"W27","DOI":"10.1308\/147870810x476700","article-title":"Rapunzel syndrome and gastric perforation","volume":"92","author":"R Tayyem","year":"2010","journal-title":"Ann R Coll Surg Engl"},{"key":"ref11","first-page":"339","article-title":"The Rapunzel syndrome. An unusual complication of intestinal bezoar","volume":"63","author":"E D Vaughan","year":"1968","journal-title":"Surgery"},{"key":"ref12","first-page":"1663","article-title":"Update on the medicinal management of phytobezoars","volume":"88","author":"P Walker-Renard","year":"1993","journal-title":"Am J Gastroenterol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/j.jaac.2012.12.021","article-title":"Treating trichotillomania across the lifespan","volume":"52","author":"D W Woods","year":"2013","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"152","DOI":"10.3748\/wjg.14.152","article-title":"Huge gastric disopyrobezoar: a case report and review of literatures","volume":"14","author":"R L Zhang","year":"2008","journal-title":"World J Gastroenterol"}],"container-title":["Klinische P\u00e4diatrie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1689-0062.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T23:21:11Z","timestamp":1657668071000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1689-0062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,31]]},"references-count":14,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,7,12]]},"published-print":{"date-parts":[[2022,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1689-0062","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0300-8630","1439-3824"],"issn-type":[{"value":"0300-8630","type":"print"},{"value":"1439-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,31]]}}}