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)

Authors

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

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

References
1 Lamerton AJ. Trichobezoar: Two case reports – A new physical sign. Am J Gastroenterol 1984; 79: 354-356
2 Hiki N, Fukunaga T, Miki A. et al. New technique for laparoscopic wedge resection for gastric submucosal tumor: laparoscopy endoscopy cooperative surgery. Jpn J Gastroenterol Surg 2008; 41: 1661-1668
3 Iwamuro M, Okada H, Matsueda K. et al. Review of the diagnosis and management of gastrointestinal bezoars. World J Gastrointest Endosc 2015; 7: 336-345
4 Iwamuro M, Yunoki N, Tomoda J. et al. Gastric bezoar treatment by endoscopic fragmentation in combination with Pepsi-Cola® administration. Am J Case Rep 2015; 16: 445-448
5 Kuo JY, Mo LR, Tsai CC. et al. Nonoperative treatment of gastric bezoars using electrohydraulic lithotripsy. Endoscopy 1999; 31: 386-388
6 Grande G, Manno M, Zulli C. et al. An alternative endoscopic treatment for massive gastric bezoars: Ho:YAG laser fragmentation. Endoscopy 2016; 48 (Suppl. 01) E217
7 Kadoya S, Tokuraku M, Harada T. et al. A case of bezoar extracted by laparoscopic surgery. J Jpn Surg Assoc 2003; 64: 2741-2744
8 Ulukent SC, Ozgun YM, Şahbaz NA. et al. A modified technique for the laparoscopic management of large gastric bezoars. Saudi Med J 2016; 37: 1022-1024
9 Zhang RL, Yang ZL, Fan BG. et al. Huge gastric disopyrobezoar: a case report and review of literatures. World J Gastroenterol 2008; 14: 152-154
10 Kuroda K, Fujii M, Shirasaka D. et al. A case of a large gastric bezoar extracted by laparoscopy and endoscopy cooperative surgery (LECS). Gastroenterol Endosc 2015; 57: 229-234 (in Japanese with English abstract)