Laparoscopic Removal of Gastric Bezoar

Abstract

Many approaches have been proposed for the treatment of bezoars, such as gastroscopic fragmentation, nasogastric lavage or suction, and enzymatic therapy. Because gastroscopic removal has not always been successful, especially in large gastric bezoars, surgical removal by gastrotomy through abdominal incision has been performed. With the advent of laparoscopic surgery, it became possible to remove such lesions without large abdominal incisions. In this case, we present a 62-year-old male who had gastric phytobezoar that was successfully treated with a laparoscopic technique.

Trichobezoar causing pancreatitis: first reported case of Rapunzel syndrome in a boy in North America

“…This approach is similarly time consuming [6]. Our approach, in which a laparoscopic gastrostomy was made to transfer the bezoar into a laparoscopic bag that was then brought to the skin, is similar to the approach described by Shami et al [7] for a trichobezoar and Song et al [8] for a phytobezoar. Although this approach may increase the risk of soiling the abdominal cavity, in our case, the patient did not exhibit signs of infection postoperatively and recovered quickly from a relatively brief operation.…”

Giant Trichobezoar and Gastric Perforation in a Normal Healthy Woman

“…12,13 Laparoscopic removal has been used by some surgeons and may be used more in the future. [14][15][16] Until there is more widespread experience with these new techniques, the standard means of treatment are laparotomy and gastrostomy. 17 Especially in a complicated case like that of our patient, who presented acutely with gastric perforation and had a large gastric trichobezoar, laparotomy may still be considered the ideal approach.…”

Rapunzel Syndrome With Reverse Intussusception Managed by Laparoscopy: Case Report

“…Distention of proximal bowel can hamper visibility, and occasionally locating the intestinal bezoar is difficult in laparoscopy. 11 The associations of pregnancy merits special mention, as bezoars are commonly seen in young females in the reproductive age group. Laparoscopy during pregnancy is never without the fear of harm, including spontaneous abortion of the developing fetus; however, increasing cumulative worldwide experience suggests that there is no significant difference in fetal morbidity with laparoscopy compared with laparotomy.…”

“…5,11 It can present as an isolated mass or with satellite nodules causing interrupted obstruction. 5 The ideal recommended procedure is to milk the bezoar beyond the ileo-cecal valve into the cecum; however, laparoscopic-assisted procedures are also commonly applied.…”