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

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

doi:10.1055/a-0732-4697

Endoscopy International Open, Table of Contents

CC BY-NC-ND 4.0 · Endosc Int Open 2018; 06(12): E1413-E1416
DOI: 10.1055/a-0732-4697

Case report

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

Takahiro Kurosu

¹Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

,

Satoshi Tanabe

²Research & Development Center for New Medical Frontiers, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

,

Rikiya Hasegawa

¹Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

,

Takafumi Yano

¹Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

,

Takuya Wada

¹Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

,

Kenji Ishido

¹Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

,

Mizutomo Azuma

¹Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

,

Chikatoshi Katada

¹Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

,

Wasaburo Koizumi

¹Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

,

Hiromitsu Moriya

³Department of Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

,

Keishi Yamashita

³Department of Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

› Author Affiliations

Abstract

A gastric bezoar is a mass that forms in the stomach. A giant gastric bezoar is particularly difficult to treat medically, and surgical therapy is selected. We describe our experience with a patient who had a giant gastric trichobezoar that was extracted by laparoscopic and endoscopic cooperative surgery (LECS) in accordance with the principles of LECS. The patient was a 32-year-old woman who presented at our hospital because of abdominal pain. Upper gastrointestinal endoscopy confirmed the presence of a giant gastric trichobezoar extending from the gastric cardia to the gastric angle. Because endoscopic removal was considered difficult, we extracted the giant gastric trichobezoar by LECS. The concurrent use of endoscopy was considered to allow a gastric bezoar to be extracted more safely and reliably than was previously possible.

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References

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