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Paper Information

Journal:   JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS)   MAY 2014 , Volume 19 , Number 5; Page(s) 472 To 473.
 
Paper: 

EXTRACTION OF SWALLOWED TOOTHBRUSH IN STOMACH BY PNEUMATIC INSUFFLATION AND GASTROTOMY UNDER LOCAL ANESTHESIA: A RARE OCCURRENCE (CASE REPORT)

 
 
Author(s):  GUPTA MAHESH*, GUPTA POOJA, GUPTA MANOJ
 
* DEPARTMENT OF SURGERY, RAMA MEDICAL COLLEGE AND RESEARCH CENTRE, MANDHANA, KANPUR, PIN CODE 209217, UTTAR PRADESH, INDIA
 
Abstract: 

Most of the ingested foreign bodies pass uneventfully through the gastrointestinal tract. However, long and rigid foreign bodies are associated with an increased risk of gastrointestinal impaction, perforation, and bleeding. Spontaneous passage of a toothbrush has not been reported till date and the technique of its removal is a curiosity for surgeons. Endoscopy is a recommended technique for the removal of such complex foreign bodies. However, if it fails, the foreign body can be removed successfully with a laparoscopic gastrotomy. We devised an innovative technique by using pneumatic gastric insufflation and extracted the toothbrush by a tiny gastrotomy under local anesthesia.

 
Keyword(s): GASTROTOMY, LOCAL ANESTHESIA, TOOTHBRUSH, UPPER GASTROINTESTINAL ENDOSCOPY
 
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