A Case of Extraction of a Bridge Type Artificial Tooth with Clasp by Percutaneous Endoscopic Intragastric Surgery

Abstract

The case involved a 65-year-old man. A bridge type artificial tooth with clasp was recognized in the lower esophagus, and a diagnosis of foreign body ingestion (foreign body in the esophagus) was made. We tried to remove it endoscopically but it was difficult. We dropped the denture into the stomach and shifted to an emergency operation. We performed percutaneous endoscopic intragastric surgery in order to minimize the sizes of abdominal wall wound and stomach wall incision wound. A small laparotomy of 3 cm in length was placed in the upper left abdomen, and a woundretractor S was inserted. A 2-cm incision was made in the stomach wall, and a woundretractor XS was inserted. A 5-mm camera and grasping forceps were inserted into the stomach by the glove method, and the denture was identified. The denture was guided to the wound site, and extracted under direct view.
By applying the percutaneous endoscopic intragastric surgery technique to the artificial tooth with clasp in the stomach, it was possible to remove the denture with the minimum incisional wound. The know-how of intra-gastric surgery, which has been conventionally performed as a surgery for early gastric cancer, is considered to be applicable also to removal of a foreign body in the stomach.