title: Extraction of swallowed toothbrush in stomach by pneumatic insufflation and gastrotomy under local anesthesia: A rare occurrence.
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.
authors.affiliation: Department of Surgery, Rama Medical College and Research Centre, Mandhana, Kanpur, Uttar Pradesh, India.
authors.forename: Mahesh
authors.initials: M
authors.lastname: Gupta
authors.affiliation: Department of Medicine, SGL Cheritable Hospital, Jalandhar, Punjab, India.
authors.forename: Pooja
authors.initials: P
authors.lastname: Gupta
authors.affiliation: Department of Surgery, SGL Cheritable Hospital, Jalandhar, Punjab, India.
authors.forename: Manoj
authors.initials: M
authors.lastname: Gupta
keywords: Gastrotomy; local anesthesia; toothbrush; upper gastrointestinal endoscopy
references.citation: Endoscopy. 1996 Aug;28(6):525
references.pmid: 8886646
references.citation: Gastrointest Endosc Clin N Am. 2007 Apr;17(2):361-82, vii
references.pmid: 17556153
references.citation: Korean J Intern Med. 2007 Jun;22(2):106-8
references.pmid: 17616026
references.citation: Arch Emerg Med. 1986 Jun;3(2):119-23
references.pmid: 3730077
references.citation: Case Rep Emerg Med. 2012;2012:568163
references.pmid: 23326718
references.citation: Lancet. 2001 Mar 31;357(9261):1012
references.pmid: 11293596
references.citation: Endoscopy. 1998 Oct;30(8):S90-1
references.pmid: 9865575
references.citation: Gastrointest Endosc. 2006 Oct;64(4):485-92
references.pmid: 16996336
references.citation: Arch Iran Med. 2012 Mar;15(3):177-8
references.pmid: 22369309