Percutaneous endoscopic intragastric surgery for removal of ingested vinyl gloves : A case report Makoto KAWASE 1 , Yoshio NAGAHISA 1 , Kazuki HASHIDA 1 , Mitsuru YOKOTA 1 , Michio OKABE 1 , Kazuyuki KAWAMOTO 1 1Department of Surgery, Kurashiki Central Hospital Keyword: ビニール手袋 , 異食 , 胃内手術 pp.229-234
Published Date 2021/5/15
DOI https://doi.org/10.11477/mf.4426200905
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 A 73-year-old man with schizophrenia and mental retardation was referred from his psychiatric hospital for intragastric foreign bodies that had been incidentally found when replacing a gastrostomy tube. Conventional abdominal computed tomography scan showed a high density area ranging from the corpus ventriculi to the second descending part of the duodenum. First, we performed removal of the foreign bodies by upper endoscopy, but failed. The next day, we attempted percutaneous endoscopic intragastric surgery, found multiple vinyl gloves in the stomach, and removed them all. Because percutaneous endoscopic intragastric surgery, with minimal incision, enables surgeons to observe a wide area and remove foreign bodies that are difficult to remove by peroral endoscopy, it is a safe and useful technique in comparison with laparoscopic surgery and laparotomy.

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