Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
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Chronic Gastric Volvulus with Laparoscopic Gastropexy after Endoscopic Reduction: A Case Report

  • Lee, Hye Yeon (Division of Gastroenterology, Department of Internal Medicine, St. Paul’s Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Jung Hyun (Division of Gastrointestinal Surgery, Department of Surgery, St. Paul’s Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Sung Geun (Division of Gastrointestinal Surgery, Department of Surgery, St. Paul’s Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2015.05.20
  • Accepted : 2015.06.07
  • Published : 2015.06.30
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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.

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References

  1. Berti A. Singolare attorcigliamento dell'esofago col duodeno sequito da rapida morte. Gazz Med Ital 1866;9:139-141.
  2. Wasselle JA, Norman J. Acute gastric volvulus: pathogenesis, diagnosis, and treatment. Am J Gastroenterol 1993;88:1780-1784.
  3. Cardile AP, Heppner DS. Gastric volvulus, Borchardt's triad, and endoscopy: a rare twist. Hawaii Med J 2011;70:80-82.
  4. Morelli U, Bravetti M, Ronca P, Cirocchi R, De Sol A, Spizzirri A, et al. Laparoscopic anterior gastropexy for chronic recurrent gastric volvulus: a case report. J Med Case Rep 2008;2:244. https://doi.org/10.1186/1752-1947-2-244
  5. Channer LT, Squires GT, Price PD. Laparoscopic repair of gastric volvulus. JSLS 2000;4:225-230.
  6. Palanivelu C, Rangarajan M, Shetty AR, Senthilkumar R. Laparoscopic suture gastropexy for gastric volvulus: a report of 14 cases. Surg Endosc 2007;21:863-866. https://doi.org/10.1007/s00464-006-9089-4
  7. Kuwano H, Hashizume M, Ohta M, Sumiyoshi K, Sugimachi K, Haraguchi Y. Laparoscopic repair of a paraesophageal hiatal hernia with gastric volvulus. Hepatogastroenterology 1998;45:303-306.
  8. Tanner NC. Chronic and recurrent volvulus of the stomach with late results of "colonic displacement". Am J Surg 1968;115:505-515. https://doi.org/10.1016/0002-9610(68)90194-3
  9. Eckhauser ML, Ferron JP. The use of dual percutaneous endoscopic gastrostomy (DPEG) in the management of chronic intermittent gastric volvulus. Gastrointest Endosc 1985;31:340-342. https://doi.org/10.1016/S0016-5107(85)72221-3
  10. Koger KE, Stone JM. Laparoscopic reduction of acute gastric volvulus. Am Surg 1993;59:325-328.
  11. Naim HJ, Smith R, Gorecki PJ. Emergent laparoscopic reduction of acute gastric volvulus with anterior gastropexy. Surg Laparosc Endosc Percutan Tech 2003;13:389-391. https://doi.org/10.1097/00129689-200312000-00009
  12. Jeong SH, Ha CY, Lee YJ, Choi SK, Hong SC, Jung EJ, et al. Acute gastric volvulus treated with laparoscopic reduction and percutaneous endoscopic gastrostomy. J Korean Surg Soc 2013;85:47-50. https://doi.org/10.4174/jkss.2013.85.1.47

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