DIFFICULTIES OF DIAGNOSIS AND TREATMENTOF STOMACH AND INTESTINAL BEZOAR IN CHILDREN

Abstract

The work carried out a retrospective analysis of the surgical treatment of twelve girls with gastric bezoar and one case of intestinal bezoar treated at the Republican Children's Clinical Hospital from 2000 to 2020. The girls ranged in age from 4 to 13. The authors note the difficulties of diagnosis associated with the absence of specific symptoms. At early stages, the clinical picture of the disease was manifested by dyspeptic disorders, general weakness, lack of appetite, weight loss, nausea, vomiting, pain in the epigastric region after eating. Palpable formation in the epigastrium is a late symptom. Clinically, bezoar of the small intestine is realized in the form of intestinal obstruction.For the early diagnosis of gastrointestinal bezoars in children, we consider it necessary to include children with dyspeptic disorders and «bad habits» (chewing, biting off the ends of their hair) in the risk group for the occurrence of bezoars for monitoring this condition.