A CASE OF A LARGE GASTRIC BEZOAR EXTRACTED BY LAPAROSCOPY AND ENDOSCOPY COOPERATIVE SURGERY (LECS)

Abstract

A 37-year-old male underwent upper gastrointestinal X-ray examination during routine medical checkup, and the X-ray examination revealed an abnormal, large lesion in his stomach. He was referred to our hospital for further examination. Gastrointestinal endoscopy revealed a large gastric bezoar. Since endoscopic extraction and dissolution therapy with Coca-Cola for this bezoar were unsuccessful, we extracted it by laparoscopy and endoscopy cooperative surgery (LECS). When it is difficult to extract a gastric bezoar by minimally invasive treatments such as endoscopic extraction and dissolution therapy, surgical treatment with LECS is useful because it involves only a small incision and the bezoar can be extracted safely and surely.