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Formation of a temporary gastrostomy to aid delivery of gastric trichobezoar and decrease incidence of wound infection
  1. Ahmed AbdElhamid Darwish,
  2. Abdelghany EM Abdelgawad,
  3. Esther Platt and
  4. Robin Garrett-Cox
  1. Paediatric Surgery Department, Bristol Royal Hospital for Children, Bristol, UK
  1. Correspondence to Mr Ahmed AbdElhamid Darwish, aadarwish37{at}


Trichobezoars are relatively uncommon problems with a known female predominance. We report two female children with gastric bezoars. Main presenting symptoms were abdominal distension, weight loss and anaemia. Upper abdominal mass was palpable in both. Diagnosis was suspected on initial abdominal radiograph and ultrasound scan then confirmed by upper endoscopy. No bowel extension was recorded in either case. We report here a modification of the surgical technique in which the gastrostomy cut edges were anchored to the laparotomy skin. This modification aided easy and complete delivery of hair balls avoiding any spillage or wound contamination.

  • bezoar
  • children

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  • Contributors All the authors of this manuscript have worked actively in drafting and revision of the article. AAD: drafting the work and revising the article. Final approval of the version published. AEMA: drafting and revision of the article. EP: involved in data collection and drafting the article. RG-C: final approval of the version published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.