Comment on “Trichobezoar Causing Airway Compromise during Esophagogastroduodenoscopy”
Joint Authors
Athanasiou, Antonios
Moris, Demetrios
Spartalis, Eleftherios D.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-26
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
We read with great interest the article by Kao et al.
[1] published in the September 2015 issue of Case Reports in Medicine, which highlighted how important is the careful attention to airway management during esophagogastroduodenoscopy for removal of a trichobezoar and similar foreign body.
However, until today, it is still controversial which is the best option for the treatment of gastric bezoar.
Endoscopic therapy can be efficient for bezoars composed of milk curd (lactobezoars) and vegetable matter (phytobezoars) because usually they are small in size, but it is difficult to be efficient for trichobezoars, especially those that are large (>20 cm) [2].
Several factors should be taken into consideration before the final decision, such as the presence of complications and the trichobezoar’s consistency as well as the size and localization.
The complications during the esophagogastroduodenoscopy for removal of a trichobezoar are estimated which are not uncommon but just unreported.
Park et al.
[3] have reported a 12.8% morbidity rate for endoscopic treatments of 39 patients.
In another earlier study, Erzurumlu et al.
[4] reported a 14% endoscopic morbidity rate, while Spyridon et al.
[5] have reported only 11% morbidity rate.
The most common complications that have been reported after treatment are bleeding, obstruction, ileus, fever, and perforation.
Last but not least, piecemeal removal of large size lesions should be avoided because secondary bezoars are possible to migrate leading to more complications.
American Psychological Association (APA)
Athanasiou, Antonios& Moris, Demetrios& Spartalis, Eleftherios D.. 2015. Comment on “Trichobezoar Causing Airway Compromise during Esophagogastroduodenoscopy”. Case Reports in Medicine،Vol. 2015, no. 2015, pp.1-2.
https://search.emarefa.net/detail/BIM-1058846
Modern Language Association (MLA)
Athanasiou, Antonios…[et al.]. Comment on “Trichobezoar Causing Airway Compromise during Esophagogastroduodenoscopy”. Case Reports in Medicine No. 2015 (2015), pp.1-2.
https://search.emarefa.net/detail/BIM-1058846
American Medical Association (AMA)
Athanasiou, Antonios& Moris, Demetrios& Spartalis, Eleftherios D.. Comment on “Trichobezoar Causing Airway Compromise during Esophagogastroduodenoscopy”. Case Reports in Medicine. 2015. Vol. 2015, no. 2015, pp.1-2.
https://search.emarefa.net/detail/BIM-1058846
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058846