A novel approach to the removal of sharp foreign bodies from the stomach using a combined endoscopic and laparoscopic technique

Iafrati, Mark D.; Fabry, Stephen C.; Lee, Young M.; O’Brien, James; Schwaitzberg, Steven D.

doi:10.1016/s0016-5107(96)70266-3

Cited by 12 publications

(12 citation statements)

References 19 publications

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“…These patients, who have a tendency to swallow foreign bodies repeatedly, should be treated laparoscopic approach to avoid repeated laparotomies. [9][10][11] In our case, the patient had a laparoscopic cholecystectomy previously; however, there were no disadvantages of performing repeated laparoscopic procedure. The main causative factors for an unsuccessful endoscopic approach were the type and shape of each foreign body.…”

Section: Discussionmentioning

confidence: 70%

“…5 These facts suggest that the indications of laparoscopic approach are the cases in which endoscopic approach failed or the foreign bodies are more likely to perforate the wall of the GI tract. A laparoscopic approach for removing intragastric foreign bodies has been reported in 6 cases in the English literature [7][8][9][10][11]13 (Tables 1 and 2). Table 1 shows preoperative status of patients treated by the endoscopic approach as a first procedure and successfully followed by laparoscopic approach as a second procedure.…”

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%

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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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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

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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“…For that reason, the location of FB must be confirmed before surgery. 21 If plain radiography does not provide the exact location of the FB, a CT scan might reveal the precise location. Thus, the location of the FB could be an important factor in determining the treatment method.…”

Section: Discussionmentioning

confidence: 99%

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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“…Endoscopy provides trans-illumination of the stomach and help to localize the foreign body for laparoscopic removal. In addition, laparoscopy provides the opportunity to clean the peritoneal spillage and ensure the closure of the abdominal wall [28].…”

Section: Laparoscopy Assisted Foreign Body Removalmentioning

confidence: 99%