grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2023-182-6-44-49grekov-2361Research ArticleНАБЛЮДЕНИЯ ИЗ ПРАКТИКИOBSERVATION FROM PRACTICEСлучай эндоскопического удаления инородного тела стенки антрального отдела желудка методом полностенной резекцииThe case of endoscopic extraction of a foreign body of the gastric antral wall using full-thickness resectionhttps://orcid.org/0000-0002-6440-2370СмирновА. А.SmirnovA. A.

Смирнов Александр Александрович, доктор медицинских наук, доцент кафедры госпитальной хирургии № 2 с клиникой, руководитель отдела эндоскопии НИИ хирургии и неотложной медицины

Санкт-Петербург

Smirnov Alexander A., Dr. of Sci. (Med.), Associate Professor of the Department of Hospital Surgery № 2 with Clinic, Head of the Endoscopic Department of the Research Institute of Surgery and Emergency Medicine

Saint-Petersburg

smirnov-1959@yandex.ruhttps://orcid.org/0000-0001-7779-7730СаадулаеваМ. М.SaadylaevaM. M.

Саадулаева Марина Магомедовна, врач-эндоскопист, старший лаборант кафедры госпитальной хирургии № 2 с клиникой

Санкт-Петербург

Saadylaeva Marina M., Endoscopist, Senior Laboratory Assistant of the Department of Hospital Surgery № 2 with Clinic

Saint-Petersburg

manya_sadik@mail.ruhttps://orcid.org/0000-0002-8667-2945КарповаР. А.KarpovaR. A.

Карпова Римма Андреевна, врач-эндоскопист

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8

Karpova Rimma A., Endoscopist

6-8, L’va Tolstogo str., Saint Petersburg, 197022

rkarpova3@gmail.comhttps://orcid.org/0000-0002-9463-5722БлиновЕ. В.BlinovY. V.

Блинов Егор Владимирович, врач-эндоскопист

Санкт-Петербург

Blinov Yegor V., Endoscopist

Saint-Petersburg

doctor_jaga@mail.ruhttps://orcid.org/0009-0009-4749-3678РучкинаЯ. В.RuchkinaY. V.

Ручкина Яна Вячеславовна, врач-эндоскопист, аспирант кафедры госпитальной хирургии № 2 с клиникой

Санкт-Петербург

Ruchkina Yana V., Endoscopist, Postgraduate Student of the Department of Hospital Surgery № 2 with Clinic

Saint-Petersburg

nata.ru4ckina2010@yandex.ruhttps://orcid.org/0009-0009-0923-9935ИльясовЭ. Т.IlyasovM.-E. T.

Ильясов Мохмад-Эми Туркулович, клинический ординатор кафедры госпитальной хирургии № 2 с клиникой

Санкт-Петербург

Ilyasov Mohamad-Emi T., Clinical Resident of the Department of Hospital Surgery № 2

Saint-Petersburg

ilyasov_emi@bk.ruhttps://orcid.org/0000-0001-7449-6908КорольковА. Ю.KorolkovA. Yu.

Корольков Андрей Юрьевич, доктор медицинских наук, профессор, руководитель отдела общей и неотложной хирургии НИИ хирургии и неотложной медицины, заведующий кафедрой госпитальной хирургии № 2 с клиникой

Санкт-Петербург

Korolkov Andrey Yu., Dr. of Sci. (Med.), Professor, Head of the Department of General and Emergency Surgery, Research Institute of Surgery and Emergency Medicine, Head of the Department of Hospital Surgery № 2 with Clinic

Saint-Petersburg

korolkov.a@mail.ruФедеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской ФедерацииРоссияPavlov UniversityRussian Federation20230102202418264449Copyright © Смирнов А.А., Саадулаева М.М., Карпова Р.А., Блинов Е.В., Ручкина Я.В., Ильясов Э.Т., Корольков А.Ю., 20242024Смирнов А.А., Саадулаева М.М., Карпова Р.А., Блинов Е.В., Ручкина Я.В., Ильясов Э.Т., Корольков А.Ю.Smirnov A.A., Saadylaeva M.M., Karpova R.A., Blinov Y.V., Ruchkina Y.V., Ilyasov M.T., Korolkov A.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/2361

Большая часть проглоченных инородных тел (ИТ) беспрепятственно проходит через желудочно-кишечный тракт (ЖКТ). Осложнения, требующие хирургического вмешательства, возникают менее чем в 1 % случаев. В мировой литературе описаны случаи внедрения ИТ в стенку полого органа ЖКТ, но встречаются лишь единичные сообщения об удалении подобных инородных тел с использованием малоинвазивных эндоскопических методик. у пациентки Н., 70 лет, раннее оперированной по поводу нейроэндокринной опухоли двенадцатиперстной кишки, было обнаружено подслизистое новообразование антрального отдела желудка. В ходе предоперационного обследования были выполнены эзофагогастродуоденоскопия, эндосонография и компьютерная томография, однако характер образования определен не был. В ходе выполнения полностенной эндоскопической резекции было выявлено и удалено инкапсулированное инородное тело (рыбья кость) со сформированным вокруг него свищевым ходом. Данный случай демонстрирует редкую патологическую ситуацию – инородное тело стенки желудка, а также эффективность гибкой внутрипросветной эндоскопии для ее устранения.

Most of the swallowed foreign bodies pass through the gastrointenstinal tract (GIT) and only 1% of them are required surgery. Many authors have reported different cases of a foreign body migration deep into the layer of the gastrointestinal tract and their successful subsequent surgical treatment. However, there are some limited reports about the extraction of the embedded foreign bodies, when endoscopic techniques, such as endoscopic submucosal dissection, are used. We present the case of a 70-years old patient who was performed full-thickness resection of a duodenal neuroendocrine tumor. According to upper endoscopy, the submucosal gastric antral tumor was suspected. During the preoperative examination, esophagogastroduodenoscopy, endosonography and computed tomography were performed, but the nature of the formation was not determined. During the full-thickness resection, the embedded foreign body (a fish-bone) with the fistula around it was revealed and successfully extracted. This case demonstrates a rare pathological situation – the foreign body of the gastric wall, as well as the efficiency of flexible intraluminal endoscopy to extract it. 

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The authors declare that there are no conflicts of interest present.