2216 Endoscopic gastric perforation repair with omental patch, using endoscopic clips.

We report the case of an 18-year-old female patient with no past medical history who presented to the emergency department with acute abdominal pain and vomiting on the background of a long history of ingesting hair (trichophagia). Computed tomography revealed pneumoperitoneum and free fluid in keeping with visceral perforation. In addition, a large hair bolus was seen extending in contiguity from the stomach to the jejunum. A laparotomy was performed, revealing an anterior gastric perforation secondary to a 120cm long trichobezoar, which had formed a cast of the entire stomach, duodenum and proximal jejunum. The bezoar was removed and an omental patch repair to the anterior ulcer was performed. The patient made an excellent postoperative recovery and was discharged home with psychiatric follow-up review.

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Gastric Perforation with Omental Patch Repair: A Rare Complication of Pulmonary Resuscitation in COVID-19 Pneumonia

Case Reports in Surgery ◽

10.1155/2020/8850739 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

Vincent Marcucci ◽

Ratul Bhattacharyya ◽

Stephanie Yee ◽

Jamshed Zuberi ◽

Mark Ingram

Keyword(s):

Gastric Perforation ◽

Rare Complication ◽

Exploratory Laparotomy ◽

Patch Repair ◽

Supportive Treatment ◽

Mask Ventilation ◽

Omental Patch ◽

X Ray ◽

Chest X Ray ◽

Bag Mask Ventilation

A 71-year-old male, diagnosed with coronavirus disease 2019 (COVID-19), was admitted to the medical-surgical floor for supportive treatment. The patient received bag-mask ventilation (BMV) secondary to severe hypoxia and reendotracheal intubation in the hospital on day eleven. A chest X-ray following reintubation noted concern for intra-abdominal air. Significant abdominal distention and subsequent diagnostic imaging showed pneumoperitoneum and a possible perforation of the stomach. The patient underwent an exploratory laparotomy with omental patching for a gastric perforation. Amidst the height of the COVID-19 pandemic, several important findings have been made through the disease sequelae of this individual patient.

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Notes Omental Patch Repair of Gastric Perforation Is Comparable to Laparoscopic Repair in a Porcine Model

Journal of Surgical Research ◽

10.1016/j.jss.2009.11.243 ◽

2010 ◽

Vol 158 (2) ◽

pp. 258

Author(s):

E.A. Moran ◽

M. Guebner ◽

C. Gostout ◽

J. Bingener

Keyword(s):

Laparoscopic Repair ◽

Porcine Model ◽

Gastric Perforation ◽

Patch Repair ◽

Omental Patch

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The effect of bioabsorbable (fibrillar) and fibrin glue on the number of macrophages and fibroblasts in Wistar rats with gastric perforation compared to the omental patch method

Bali Medical Journal ◽

10.15562/bmj.v8i3.1561 ◽

2019 ◽

Vol 8 (3) ◽

pp. 799

Author(s):

Resdiyanto Resdiyanto ◽

Muhammad Shobachun Niam ◽

Harun Al Rasyid ◽

Setyo Sugiharto ◽

Lulik Inggarwati ◽

...

Keyword(s):

Fibrin Glue ◽

Wistar Rats ◽

Gastric Perforation ◽

Omental Patch

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Endoscopic Repair of Delayed Stomach Perforation Arising From Penetrating Trauma: A Case Report

10.21203/rs.3.rs-62364/v1 ◽

2020 ◽

Author(s):

Jae hyun Yoon ◽

Chung Hwan Jun ◽

Jae Pil Han ◽

Ji Woong Yeom ◽

Seung Ku Kang ◽

...

Keyword(s):

Gastric Perforation ◽

Primary Repair ◽

Abdominal Cavity ◽

Gastric Wall ◽

Penetrating Trauma ◽

Endoscopic Management ◽

Free Perforation ◽

Endoscopic Closure ◽

Additional Surgery ◽

Endoscopic Clips

Abstract Background Primary endoscopic closure of perforated gastric wall during endoscopic procedures is mostly effective and well-tolerated; however, there are only few studies on the efficacy of endoscopic management in traumatic delayed gastric perforation. Case presentation: Here, we report the case of a 39-year-old woman who presented with multiple penetrating trauma in the back and left abdominal cavity. Initial imaging studies revealed left diaphragmatic disruption and peri-splenic hemorrhage without gastric perforation. An emergency primary repair of the disrupted diaphragm with omental reduction and suture of the lacerated lung was performed; however, delayed free-perforation of the gastric wall was noted on computed tomography after 3 d. Following an emergency abdominal surgery for primary repair of the gastric wall, re-perforation was noted 15 d post-operatively. The high re-operation risk prompted an endoscopic intervention using two endoloops and 11 endoscopic clips using a novel modified purse-string suture technique. The free perforated gastric wall was successfully repaired without additional surgery or intervention. The patient was discharged after 46 d without any complications. Conclusions Endoscopic closure with this novel technique involving endoloops and endoscopic clips can be a useful therapeutic alternative to re-operation for delayed gastric perforation caused by penetrating trauma.

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