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Japanese

A case of ingested artificial tooth with clasp removed by transgastrostomic endoscopy Toshio SHIRAISHI 1 , Kouki WAKATA 1 , Shigekazu HIDAKA 1 , Keiko HAMASAKI 1 , Toru YASUTAKE 2 , Takeshi NAGAYASU 1 1Division of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Science 2Advanced Medical Education Center, Nagasaki University School of Medicine Keyword: 食道穿孔 , 有鉤義歯 , 経胃瘻的内視鏡操作 pp.909-915
Published Date 2018/11/15
DOI https://doi.org/10.11477/mf.4426200641
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 The patient was a man in his sixties. The patient was brought to our hospital by ambulance from another clinic following unsuccessful endoscopic removal of an artificial tooth with clasp from accidental ingestion and the identification of pneumomediastinum on computed tomography (CT). Endoscopic removal was also attempted at our hospital but its removal was difficult. Conservative management was undertaken by applying clip sutures and poly glycolic acid (PGA) felt sheets to the esophageal perforation and lacerations. For future nutritional management and removal of the artificial tooth with clasp, laparoscopic-assisted gastrostomy and transgastrostomic endoscopy were performed. Postoperative course was favorable. The patient resumed taking water and food by mouth in the second week following the surgery and was transferred to another hospital in the third week. Removal of ingested artificial tooth with clasp through transgastrostomic endoscopy was safe and relatively noninvasive, offering effective approach to complicated cases of ingested foreign bodies with esophageal perforation.


Copyright © 2018, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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