title: Trichotillomania, trichophagia, trichobezoar - summary of three cases. Endoscopic follow up scheme in trichotillomania.
abstract: OBJECTIVE
  Trichotillomania is a lack of control of one's hair pulling. It is estimated that about 1% of population develops trichotillomania. In up to 20% of patients with trichotillomania swollowing follows hair pulling. Trichobezoar forms in about 30% of patients with trichofagia.
  
  
  METHODS
  In 2008-2014 3 patients were operated on trichobezoar. One patient has had a history of trichotillomania. On admission abdominal X-ray and ultrasonography revealed abdominal mass. Diagnosis was confirmed in abdominal computed tomography.
  
  
  RESULTS
  All three trichobezoars were evacuated from the intestinal tract during laparotomy with wide gastric wall opening. In one case - Rapunzel syndrome - hair mass was evacuated also from the duodenum and small bowel. All patients were referred to psychiatrist after finishing of the surgical treatment.
  
  
  CONCLUSIONS
  In patients operated for trichobezoar as well as other patients with trichotillomania control of hair accumulation in the gastrointestinal tract remains a problem. Authors propose endoscopic follow up scheme in 6, 12, and 24 months after the surgery as well as for other patients with trichotillomania.
authors.affiliation: Klinika Chirurgii i Urologii Dziecięcej WUM.
authors.forename: Marek
authors.initials: M
authors.lastname: Wolski
authors.affiliation: Oddział Kliniczny Psychiatrii Samodzielnego Publicznego Dziecięcego Szpitala Klinicznego w Warszawie.
authors.forename: Marta
authors.initials: M
authors.lastname: Gawłowska-Sawosz
authors.affiliation: Klinika Chirurgii i Urologii Dziecięcej WUM.
authors.forename: Michał
authors.initials: M
authors.lastname: Gogolewski
authors.affiliation: Klinika Psychiatrii Wieku Rozwojowego WUM.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Wolańczyk
authors.affiliation: Klinika Gastroenterologii i Żywienia Dzieci WUM.
authors.forename: Piotr
authors.initials: P
authors.lastname: Albrecht
authors.affiliation: Klinika Chirurgii i Urologii Dziecięcej WUM.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kamiński
mesh_terms: D000293:Adolescent; D001630:Bezoars / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D008297:Male; D014256:Trichotillomania / Q000601:surgery*
keywords: endoscopic follow up; trichobezoar; trichotillomania