Chronic Gastric Volvulus with Laparoscopic Gastropexy after Endoscopic Reduction: A Case Report.
10.5230/jgc.2015.15.2.147
- Author:
Hye Yeon LEE
1
;
Jung Hyun PARK
;
Sung Geun KIM
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Stomach volvulus;
Laparoscopy;
Gastropexy;
Endoscopy
- MeSH:
Aged;
Barium;
Emergency Service, Hospital;
Endoscopy;
Esophagogastric Junction;
Female;
Gastropexy*;
Humans;
Laparoscopy;
Meals;
Nausea;
Pyloric Antrum;
Stomach;
Stomach Volvulus*
- From:Journal of Gastric Cancer
2015;15(2):147-150
- CountryRepublic of Korea
- Language:English
-
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.
