Limits...
Chronic Gastric Volvulus with Laparoscopic Gastropexy after Endoscopic Reduction: A Case Report.

Lee HY, Park JH, Kim SG - J Gastric Cancer (2015)

Bottom Line: Abdominal computed tomography revealed markedly distended stomach with transposition of gastroesophageal Junction and gastric antrum.Barium meal study revealed presence of the antrum was folded over 180 degrees that was located above gastroesophageal junction.We attempted an endoscopic reduction, but it was unsuccessful.

View Article: PubMed Central - PubMed

Affiliation: Division of Gastroenterology, Department of Internal Medicine, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT
Gastric volvulus is an uncommon clinical entity. There are three types of gastric volvulus; organoaxial, mesenteroaxial and combined type. This condition can lead to a closed-loop obstruction or strangulation. Traditional surgical therapy for gastric volvulus is based on an open approach. Here we report a successful case of a patient with chronic gastric volvulus with a laparoscopic treatment. A 79-year-old woman came to the emergency department with epigastric pain accompanied by nausea for 2 weeks. Abdominal computed tomography revealed markedly distended stomach with transposition of gastroesophageal Junction and gastric antrum. Barium meal study revealed presence of the antrum was folded over 180 degrees that was located above gastroesophageal junction. We attempted an endoscopic reduction, but it was unsuccessful. The patient got laparoscopic anterior gastropexy. Based on our result, laparoscopic gastropexy can be considered as a good choice of the treatment for gastric volvulus.

No MeSH data available.


Related in: MedlinePlus

(A) A simple abdominal radiograph showing a double bubble sign in the left upper abdomen. (B) A markedly distended stomach with transposition of the gastroesophageal junction and gastric antrum.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4496443&req=5

Figure 1: (A) A simple abdominal radiograph showing a double bubble sign in the left upper abdomen. (B) A markedly distended stomach with transposition of the gastroesophageal junction and gastric antrum.

Mentions: A plain abdominal radiograph revealed a large air bubble sign in the left upper abdomen (Fig. 1A). A contrast-enhanced abdominal computed tomography revealed a markedly distended stomach; the transposition of the gastroesophageal junction and gastric antrum confirmed a recurrent or chronic state of mesenteroaxial gastric volvulus (Fig. 1B). A barium meal study revealed the presence of the antrum folded over 180° located above gastroesophageal junction (single study). After the patient consumed a foaming agent for a double study, the gastric antrum and gastroesophageal junction returned to their normal position, the gastric antrum returning to its position above the gastroesophageal junction within 2 to 3 minutes. There was no duodenal passage disturbance (Fig. 2A).


Chronic Gastric Volvulus with Laparoscopic Gastropexy after Endoscopic Reduction: A Case Report.

Lee HY, Park JH, Kim SG - J Gastric Cancer (2015)

(A) A simple abdominal radiograph showing a double bubble sign in the left upper abdomen. (B) A markedly distended stomach with transposition of the gastroesophageal junction and gastric antrum.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4496443&req=5

Figure 1: (A) A simple abdominal radiograph showing a double bubble sign in the left upper abdomen. (B) A markedly distended stomach with transposition of the gastroesophageal junction and gastric antrum.
Mentions: A plain abdominal radiograph revealed a large air bubble sign in the left upper abdomen (Fig. 1A). A contrast-enhanced abdominal computed tomography revealed a markedly distended stomach; the transposition of the gastroesophageal junction and gastric antrum confirmed a recurrent or chronic state of mesenteroaxial gastric volvulus (Fig. 1B). A barium meal study revealed the presence of the antrum folded over 180° located above gastroesophageal junction (single study). After the patient consumed a foaming agent for a double study, the gastric antrum and gastroesophageal junction returned to their normal position, the gastric antrum returning to its position above the gastroesophageal junction within 2 to 3 minutes. There was no duodenal passage disturbance (Fig. 2A).

Bottom Line: Abdominal computed tomography revealed markedly distended stomach with transposition of gastroesophageal Junction and gastric antrum.Barium meal study revealed presence of the antrum was folded over 180 degrees that was located above gastroesophageal junction.We attempted an endoscopic reduction, but it was unsuccessful.

View Article: PubMed Central - PubMed

Affiliation: Division of Gastroenterology, Department of Internal Medicine, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT
Gastric volvulus is an uncommon clinical entity. There are three types of gastric volvulus; organoaxial, mesenteroaxial and combined type. This condition can lead to a closed-loop obstruction or strangulation. Traditional surgical therapy for gastric volvulus is based on an open approach. Here we report a successful case of a patient with chronic gastric volvulus with a laparoscopic treatment. A 79-year-old woman came to the emergency department with epigastric pain accompanied by nausea for 2 weeks. Abdominal computed tomography revealed markedly distended stomach with transposition of gastroesophageal Junction and gastric antrum. Barium meal study revealed presence of the antrum was folded over 180 degrees that was located above gastroesophageal junction. We attempted an endoscopic reduction, but it was unsuccessful. The patient got laparoscopic anterior gastropexy. Based on our result, laparoscopic gastropexy can be considered as a good choice of the treatment for gastric volvulus.

No MeSH data available.


Related in: MedlinePlus