foreign bodies will involve a transverse gastrotomy away from the pylorus and between the
lesser and greater curve of the stomach (Figure 1).
Figure 1. Transverse gastrotomy for removal of foreign bodies.
Objects impacted at the duodenal sweep can be removed through a duodenotomy if they
cannot be milked back to the stomach. Similarly, impacted objects in the small bowel can be
removed through enterotomies. Primary closure is indicated in cases without peritoneal
contamination. For closure, it is important to avoid narrowing the lumen. Techniques similar
to that of pyloroplasty involving transverse incisions with longitudinal closure using absorb‐
able sutures should be considered (Figure 2).
Figure 2. Technique of pyloroplasty.
Gastrointestinal Foreign Bodies
http://dx.doi.org/10.5772/6346483