Combined endoscopic and laparoscopic approach to remove a sharp gastric foreign body

Olson, John A.; Weinstock, Leonard B.; Brunt, L. Michael

doi:10.1016/s0016-5107(00)70461-5

Cited by 5 publications

(4 citation statements)

References 23 publications

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“…This would help in the efficient removal of the FB from the patient. 22,23 There were some limitations in this study. First, these results were deduced from a retrospective analysis.…”

Section: Discussionmentioning

confidence: 94%

Clinical Analysis and Proper Management of the Patients Visited ER Due to Ingested Foreign Body: Single Center Experience

Park

Choi

et al. 2014

J Minim Invasive Surg

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Purpose:The conventional treatm ent for ingested foreign bodies (IFB) is rem oval, w hich is successful in m ost cases. How ever, it can be associated w ith severe com plications, such as gastrointestinal tract perforation, and require em ergency surgery. The aim of this study is to analyze clinical data relating to IFB and to develop a proper m anagem ent plan to reduce the incidence of severe com plications.Methods: Betw een Septem ber 2001 and Septem ber 2009, 117 patients visited the em ergency room com plaining of IFB. Am ong these patients, 29 w ere diagnosed w ith bezoar and were excluded from the study. Medical data for the rem aining 88 patients w as review ed retrospectively. For statistical analysis, the foreign bodies (FB) w ere classified into three subgroups according to their shape (round, sharp, and am orphous).Results: The m edian age of patients w ith IFB w as seven years, and the m ale-to-fem ale ratio was 1.3:1. Many of these patients w ere preschool children under the age of seven w ho had accidentally sw allow ed FB (56 cases, 63.6% ). The m ost com m on sym ptom presented am ong the patients was FB sensation (18 cases, 21% ). The results of subgroup analysis show ed no significant relation betw een the shape of the FB and the treatm ent m odality. Spontaneous passage w as observed in 21 cases (23.9% ). O therw ise, endoscopic rem oval was perform ed successfully in 61.4% of cases, and 13 patients required em ergency operations (14.8% ). Conclusion:Early diagnosis and a prom pt approach are significant in the successful treatm ent of IFB. Endoscopic or surgical procedures are som etim es required, particularly in cases w here com plications are suspected.

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“…This would help in the efficient removal of the FB from the patient. 22,23 There were some limitations in this study. First, these results were deduced from a retrospective analysis.…”

Section: Discussionmentioning

confidence: 94%

Clinical Analysis and Proper Management of the Patients Visited ER Due to Ingested Foreign Body: Single Center Experience

Park

Choi

et al. 2014

J Minim Invasive Surg

View full text Add to dashboard Cite

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“…A combined endoscopic and laparoscopic approach was performed in 3 cases, including ours. 9,12 Using an endoscope helps achieve a good operative view and provides information on where and how the foreign bodies are situated, including the direction of the oral side of the stomach. We also used a double straight needle device 14 to tension the anterior wall of the stomach so as to cut it and close it easily.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,[4][5][6] In surgical management, although open laparotomy has been widely accepted for the removal of ingested foreign bodies, laparoscopic approaches involving minimally invasive surgery are gradually being applied. [7][8][9][10][11][12][13] We report the successful laparoscopic removal under the endoscopic guidance of a solitary sharp intragastric foreign body with a complicated preoperative condition.…”

mentioning

confidence: 99%

Laparoscopic Removal of an Intragastric Foreign Body With Endoscopic Assistance

Furihata¹,

Tagaya²,

Furihata³

et al. 2004

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

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We report the successful laparoscopic removal of an intragastric foreign body. A 57-year-old woman who had accidentally swallowed her own partial denture was referred to our hospital for its removal. Laparoscopic removal of the foreign body was urgently performed with the assistance of oral endoscope, following an earlier failed endoscopic removal associated with subcutaneous and mediastinal emphysema. The foreign body was removed from the stomach through a gastrotomy. There were no perioperative complications. The patient was uneventfully discharged on the ninth postoperative day. Laparoscopic removal of an intragastric foreign body is a feasible and safe treatment, and can be an alternative choice following failed endoscopic removal.

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“…The foreign body was snared by the endoscopy in the stomach but it could not pass through the overtube in the esophagus. Gastrostomy was done using laparoscope then the snared foreign body was delivered to a laparoscopy grasper through the gastrostomy [27]. This technique has many advantages in difficult cases of foreign body removal.…”

Section: Laparoscopy Assisted Foreign Body Removalmentioning

confidence: 99%