A giant trichobezoar extracted by laparoscopic and endoscopic cooperative surgery (LECS)

Kurosu, Takahiro; Tanabe, Satoshi; Hasegawa, Rikiya; Yano, Takafumi; Wada, Takuya; Ishido, Kenji; Azuma, Mizutomo; Katada, Chikatoshi; Koizumi, Wasaburo; Moriya, Hiromitsu; Yamashita, Keishi

doi:10.1055/a-0732-4697

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…Although only 2 cases have been described until now–a gastric trichobezoar 29×10 cm in size and another gastric bezoar 10 cm in diameter–this combined technique may become a favorable therapeutic option in the near future. It offers small incisions and intragastric access through laparoscopic surgery, with the aid of endoscopic visualization that provides accurate intraoperative control and evaluation of the surgical interventions (bezoar fragmentation and extraction) [73].…”

Section: Therapeutic Approachmentioning

confidence: 99%

Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars

Paschos

Chatzigeorgiadis

2019

aog

106

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Bezoars are intraluminal conglomerates of indigestible foreign materials that accumulate in the gastrointestinal (GI) tract. They consist of vegetable or fruit fibers, hairs or other substances; accordingly, bezoars are classified as phytobezoars, trichobezoars, pharmacobezoars, etc. Although sometimes asymptomatic, bezoars may cause serious symptoms, such as abdominal discomfort or pain, dysphagia, hematemesis, or even life-threatening entities (GI bleeding, obstruction or perforation). Current technological applications have contributed to the diagnostic and therapeutic approach to these masses, mainly through endoscopic techniques able to diagnose, fragment and extract bezoars, as well as laparoscopic and other surgical modalities that may be used to treat serious complications. Although bezoars were described centuries ago and the term was officially introduced in the mid nineties by Quain, they are still a demanding pathological entity. Their pathophysiology, accurate and prompt diagnosis, as well as successful and minimally invasive treatment, remain under investigation and see continuous progress. Current advances in these challenging areas are discussed in this review, which attempts to present an in-depth study of bezoars along with the well-established modalities and techniques.

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Section: Therapeutic Approachmentioning

confidence: 99%

Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars

Paschos

Chatzigeorgiadis

2019

aog

106

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“…The laparoscopic approach is a minimally invasive treatment that has been demonstrated to be feasible, although it is difficult to manage gastric bezoars 7 . In the present investigation, the median age of the patients who underwent laparoscopic treatment was 16.5 years, and all but our case were females.…”

Section: Discussionmentioning

confidence: 59%

“…The clinical characteristics of nine previously reported cases [3][4][5][6][7][8][9][10] and those of our patients are shown in Table 1. This cohort comprised nine women and one man with a median age of 16.5 years (range, 5-76 years).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment for multiple huge diospyrobezoars in the stomach

Namikawa¹,

Utsunomiya²,

Yokota³

et al. 2023

Asian J Endoscop Surgery

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We report a case of a patient with multiple diospyrobezoars, a phytobezoar attributed to persimmons (Diospyros kaki) consumption, in the stomach, who was treated with laparoscopic complete surgical excision. A 76-year-old man with gastric phytobezoars presented to our hospital. Abdominal contrastenhanced computed tomography revealed three well-defined, oval, nonhomogeneous masses with a mottled appearance in the stomach. Esophagogastroduodenoscopy revealed three large brown solid phytobezoars and gastric ulcers at the gastric angle. The clinical diagnosis was diospyrobezoar, and, due to the huge masses, the patient eventually underwent laparoscopic treatment when the medical and endoscopic approaches were unsuccessful. After gastrotomy in the anterior wall of the stomach, the phytobezoar was mobile inside the stomach,

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A rare presentation of gastric phytobezoar: Simultaneous bleeding and perforation. combined laparoscopic and endoscopic approach. Report of a case

Di Buono,

Russo,

Amato

et al. 2023

International Journal of Surgery Case Reports

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A giant trichobezoar extracted by laparoscopic and endoscopic cooperative surgery (LECS)

Cited by 4 publications

References 8 publications

Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars

Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars

Laparoscopic treatment for multiple huge diospyrobezoars in the stomach

A rare presentation of gastric phytobezoar: Simultaneous bleeding and perforation. combined laparoscopic and endoscopic approach. Report of a case

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