CC BY-NC-ND 4.0 · Endosc Int Open 2018; 06(12): E1413-E1416
DOI: 10.1055/a-0732-4697
Case report
Owner and Copyright © Georg Thieme Verlag KG 2018

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

Takahiro Kurosu
1  Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
,
Satoshi Tanabe
2  Research & Development Center for New Medical Frontiers, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
,
Rikiya Hasegawa
1  Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
,
Takafumi Yano
1  Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
,
Takuya Wada
1  Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
,
Kenji Ishido
1  Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
,
Mizutomo Azuma
1  Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
,
Chikatoshi Katada
1  Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
,
Wasaburo Koizumi
1  Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
,
Hiromitsu Moriya
3  Department of Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
,
Keishi Yamashita
3  Department of Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
› Author Affiliations
Further Information

Publication History

submitted 01 February 2018

accepted after revision 30 May 2018

Publication Date:
29 November 2018 (online)

  

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.