Simultaneous combined laparoscopic-endoscopic removal of a large gastric trichobezoar and gastric polypectomy
Introduction. Trichobezoars and gastric polyps are very rare conditions in children and may pose a diagnostic and therapeutic challenge. The purpose of this work is to present our successful experience using combined laparoscopic-endoscopic procedure for simultaneous treatment of a trichobezoar and...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2017-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2017/0370-81791700058B.pdf |
| _version_ | 1818665903000125440 |
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| author | Bukarica Svetlana Jokić Radoica Antić Jelena Stojšić Mirjana Komarčević Aleksandar Fratrić Ivana |
| author_facet | Bukarica Svetlana Jokić Radoica Antić Jelena Stojšić Mirjana Komarčević Aleksandar Fratrić Ivana |
| author_sort | Bukarica Svetlana |
| collection | DOAJ |
| description | Introduction. Trichobezoars and gastric polyps are very rare conditions in children and may pose a diagnostic and therapeutic challenge. The purpose of this work is to present our successful experience using combined laparoscopic-endoscopic procedure for simultaneous treatment of a trichobezoar and gastric polyp in the same patient. Case outline. We present an unusual case of a 15-year-old girl whose symptoms included abdominal pain, non-bilious vomiting after feeding, including undigested food and sometimes hair. Positive history of trichophagia indicated that a trichobezoar could be the reason for her problems. Endoscopy and ultrasound examination revealed a trichobezoar occupying almost the entire capacity of the stomach, as well as one oval polyp in the prepyloric area of the antrum. Simultaneous combined laparoscopicendoscopic rendezvous procedure was performed. The trichobezoar (14 × 6 cm) and the gastric polyp (2.2 × 1.7 cm) were completely removed laparoscopically through anterior gastrotomy, with great support of an adequate endobag and mechanical fragmentation of trichobezoar. The postoperative course was uneventful. Conclusion. This case shows that diagnostic endoscopy is valuable and that the combined laparoscopicendoscopic technique is feasible, safe and recommended treatment for simultaneous removal of a gastric trichobezoar and gastric polypectomy. |
| first_indexed | 2024-12-17T05:56:01Z |
| format | Article |
| id | doaj.art-8a0b3dff02d4448aa9fce7b3382d8101 |
| institution | Directory Open Access Journal |
| issn | 0370-8179 2406-0895 |
| language | English |
| last_indexed | 2024-12-17T05:56:01Z |
| publishDate | 2017-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-8a0b3dff02d4448aa9fce7b3382d81012022-12-21T22:01:02ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952017-01-011457-840340610.2298/SARH160630058B0370-81791700058BSimultaneous combined laparoscopic-endoscopic removal of a large gastric trichobezoar and gastric polypectomyBukarica Svetlana0Jokić Radoica1Antić Jelena2Stojšić Mirjana3Komarčević Aleksandar4Fratrić Ivana5Institute for Children and Youth Health Care of Vojvodina, Clinic for pediatric surgery, Novi Sad + Faculty of Medicine, Novi SadInstitute for Children and Youth Health Care of Vojvodina, Clinic for pediatric surgery, Novi Sad + Faculty of Medicine, Novi SadInstitute for Children and Youth Health Care of Vojvodina, Clinic for pediatric surgery, Novi Sad + Faculty of Medicine, Novi SadInstitute for Children and Youth Health Care of Vojvodina, Department of Pediatrics, Novi SadInstitute for Children and Youth Health Care of Vojvodina, Clinic for pediatric surgery, Novi Sad + Faculty of Medicine, Novi SadInstitute for Children and Youth Health Care of Vojvodina, Clinic for pediatric surgery, Novi Sad + Faculty of Medicine, Novi SadIntroduction. Trichobezoars and gastric polyps are very rare conditions in children and may pose a diagnostic and therapeutic challenge. The purpose of this work is to present our successful experience using combined laparoscopic-endoscopic procedure for simultaneous treatment of a trichobezoar and gastric polyp in the same patient. Case outline. We present an unusual case of a 15-year-old girl whose symptoms included abdominal pain, non-bilious vomiting after feeding, including undigested food and sometimes hair. Positive history of trichophagia indicated that a trichobezoar could be the reason for her problems. Endoscopy and ultrasound examination revealed a trichobezoar occupying almost the entire capacity of the stomach, as well as one oval polyp in the prepyloric area of the antrum. Simultaneous combined laparoscopicendoscopic rendezvous procedure was performed. The trichobezoar (14 × 6 cm) and the gastric polyp (2.2 × 1.7 cm) were completely removed laparoscopically through anterior gastrotomy, with great support of an adequate endobag and mechanical fragmentation of trichobezoar. The postoperative course was uneventful. Conclusion. This case shows that diagnostic endoscopy is valuable and that the combined laparoscopicendoscopic technique is feasible, safe and recommended treatment for simultaneous removal of a gastric trichobezoar and gastric polypectomy.http://www.doiserbia.nb.rs/img/doi/0370-8179/2017/0370-81791700058B.pdftrichobezoargastric polyplaparoscopyendoscopy |
| spellingShingle | Bukarica Svetlana Jokić Radoica Antić Jelena Stojšić Mirjana Komarčević Aleksandar Fratrić Ivana Simultaneous combined laparoscopic-endoscopic removal of a large gastric trichobezoar and gastric polypectomy Srpski Arhiv za Celokupno Lekarstvo trichobezoar gastric polyp laparoscopy endoscopy |
| title | Simultaneous combined laparoscopic-endoscopic removal of a large gastric trichobezoar and gastric polypectomy |
| title_full | Simultaneous combined laparoscopic-endoscopic removal of a large gastric trichobezoar and gastric polypectomy |
| title_fullStr | Simultaneous combined laparoscopic-endoscopic removal of a large gastric trichobezoar and gastric polypectomy |
| title_full_unstemmed | Simultaneous combined laparoscopic-endoscopic removal of a large gastric trichobezoar and gastric polypectomy |
| title_short | Simultaneous combined laparoscopic-endoscopic removal of a large gastric trichobezoar and gastric polypectomy |
| title_sort | simultaneous combined laparoscopic endoscopic removal of a large gastric trichobezoar and gastric polypectomy |
| topic | trichobezoar gastric polyp laparoscopy endoscopy |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2017/0370-81791700058B.pdf |
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