This journal only 2013, Number 3 Rev Mex Cir Endoscop 2013; 14 (3) Removing gastric foreign objects by laparoscopy Justo-Janeiro JM, Martínez EYY, Coloapa VR, Lugo C, Áhuatl PL, Prado OE Full text How to cite this article Language: Spanish References: 12 Page: 136-140 PDF size: 303.06 Kb. Key words: Foreign gastric bodies, endoscopic extraction, laparoscopic extraction. ABSTRACT Introduction: Foreign bodies ingestion is common, mostly accidental, especial attention to psychiatrics and inmates, they swallow very different type of objects.10-20% need endoscopy and 1-10% need surgery. Objective: To present a successful case of gastric foreign bodies laparoscopic extraction. Case presentation: 18 years old man, schizophrenic, infected with HIV without good treatment attachment, six months before he was operated because he swallowed four electric batteries, presented with upper digestive bleeding. Endoscopy shows objects like pencils, pens and a toothbrush; extraction was attempted with a polypectomy snare but was unsuccessful especially two small tubes impacted in pylorus. We proposed laparoscopy, gastrotomy and foreign bodies extraction. Results: A lot of adherences than can be dissected and we can saw the anterior gastric wall where we opened stomach and the foreign bodies were extracted, a flexible endoscopy was carried out, gastrotomy was closed with a two layer intracorporeal suture, cavity was flushed and aspirated. Patient recovery was uneventful. Conclusions: First therapeutic options in patients with gastric foreign bodies is endoscopy, if it is unsuccessful, laparoscopy approach is feasible and safe. REFERENCES Erbil B, Karaca MA, Aslaner MA, Ibrahimov Z, Kunt MM, Akpinar E, Ozmen MM. Emergency admissions due to swallowed foreign bodies in adults. World J Gastroenterol. 2013; 19: 6447-6452. Dalal PP, Otey AJ, McGonagle EA, Whitmill ML, Levine EJ, McKimmie RL, et al. Intentional foreign object ingestions: need for endoscopy and surgery. J Surg Res. 2013; 184: 145-149. Bisharat M, O’Donnell ME, Gibson N, Mitchell M, Refsum SR, Carey PD, Spence RA, Lee J. Foreign body ingestion in prisoners-the Belfast experience. Ulster Med J. 2008; 77: 110-114. Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc. 2002; 55: 802-806. Lewis C, Hsu HK, Hoover E. Aspiration of foreign bodies in adults with personality disorders: impact on diagnosis and recurrence. J Natl Med Assoc. 2011; 103: 620-622. Jain A, Nag HH, Goel N, Gupta N, Agarwal AK. Laparoscopic removal of a needle from the pancreas. J Minim Access Surg. 2013; 9: 80-81. Fragoso AT, Luaces FE, Díaz LT. Cuerpos extraños en el aparato digestivo. Rev Cubana Med Gen Integr. 2002; 18: 270-274. Islam SR, Islam EA, Hodges D, Nugent K, Parupudi S. Endoscopic removal of multiple duodenum foreign bodies: An unusual occurrence. World J Gastrointest Endosc. 2010; 2: 186-189. Khan PS, Hayat H. Uneventful passage of long pointed foreign body after accidental ingestion: report of two unusual cases. Trop Gastroenterol. 2012; 33: 282-283. Jamal K, Shaunak S, Kalsi S, Nehra D. Successful Laparoscopic Removal of an Ingested Toothbrush. J Surg Tech Case Rep. 2013; 5: 99-102. Petrea S, Brezean I. Self harm through foreign bodies ingestion - a rare cause of digestive perforation. J Med Life. 2014; 7: 67-74. Chin EH, Hazzan D, Herron DM, Salky B. Laparoscopic retrieval of intraabdominal foreign bodies. Surg Endosc. 2007; 21: 1457.