Table 3 Diagnostic parameters obtained in the investigation of gastric lactobezoar
Diagnostic criteria | Diagnostic information | patients reported*) |
|---|---|---|
Patient history | - calorie content > 80 kcal/100 ml formula | 69 (71.9) |
| Â | - mode/technique of feeding | 63 (65.6) |
| Â | - food additives (milk fortifiers, anti-reflux preparations) | 7 (7.3) |
| Â | - decreased fluid intake/24 hrs | 17 (17.7) |
| Â | - increased fluid loss (vomiting, diarrhea, sweating) | 71 (74.0) |
| Â | - medications antagonizing gastric secretion & motility | 7 (7.3) |
Physical examination | - signs of acute abdomen | 67 (69.8) |
| Â | - palpable abdominal mass | 19 (19.8) |
| Â | - physical signs of dehydration | 16 (16.7) |
| Â | - signs of cardiocirculatory distress | 17 (17.7) |
| Â | - signs of respiratory distress | 15 (15.6) |
Laboratory | - parameters of blood loss (↓ hemoglobin, ferritinetc.) | 6 (6.3) |
| Â | - hematest positive stool | 5 (5.2) |
|  | - parameters of dehydration (↑ hematocrit, BUN etc.) | 12 (12.5) |
Diagnostic | - abdominal ultrasound imaging | 12 (12.5) |
| Â | - plain abdominal radiography | 62 (64.6) |
| Â | - air contrast radiography | 18 (18.8) |
| Â | - clear fluid feed radiography | 14 (14.6) |
| Â | - opaque contrast medium radiography | 10 (10.4) |
| Â | - X-ray video imaging | 13 (13.5) |
Gastroscopy | Â | 2 (2.1) |
Surgery | Â | 9 (9.4) |