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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 postoperative upper gastrointestinal study confirmed complete reduction of the gastric volvulus.
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Figure 4: A postoperative upper gastrointestinal study confirmed complete reduction of the gastric volvulus.

Mentions: On postoperative day 5, an upper gastointestinal study confirmed reduction of the patient's stomach (Fig. 4). The patient did well in the postoperative period and was discharged at postoperative day 7. She was followed up for 6 months and showed no evidence of recurrence, either radiological or symptomatic.


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

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

A postoperative upper gastrointestinal study confirmed complete reduction of the gastric volvulus.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: A postoperative upper gastrointestinal study confirmed complete reduction of the gastric volvulus.
Mentions: On postoperative day 5, an upper gastointestinal study confirmed reduction of the patient's stomach (Fig. 4). The patient did well in the postoperative period and was discharged at postoperative day 7. She was followed up for 6 months and showed no evidence of recurrence, either radiological or symptomatic.

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