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A Journal on Surgery

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Chirurgia 2007 October;20(5):253-5

language: English

Laparoscopic removal of gastric phytobezoar. Case report

Navarra G. 1, Cogliandolo A. 1, Rinaldi F. 1, Familiari L. 2, Bartolotta G. 1

1 Division of Surgical Methodology Policlinico G. Martino University of Messina, Messina, Italy
2 Division of Digestive Endoscopy Policlinico G. Martino University of Messina Messina, Italy


Bezoars can be usually managed by enzymatic dissolution, endoscopic withdrawal, or a combination of both, unless large masses that require operative removal. Very few articles have been published so far on the operative laparoscopic approach to such foreign bodies in the stomach. The Authors’ report on a 57-year-old man affected by gastric ulcer who also carried a gastric phytobezoar, probably due to long-term use of H2 antagonists and to a particular diet. The phytobezoar was easily approached with a 30° laparoscope and removed from the stomach using an endobag which allowed the bezoar to break apart and to extract its fragments. The Authors’ conclude that laparoscopic removal of gastric bezoars is safe and effective and affords an early recovery.

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