DOI QR코드

DOI QR Code

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)
  • 투고 : 2015.05.20
  • 심사 : 2015.06.07
  • 발행 : 2015.06.30

초록

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.

키워드

참고문헌

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  2. Giant paraesophageal hernia-related chronic gastric volvulus case to the emergent surgery vol.12, pp.4, 2017, https://doi.org/10.5114/pg.2017.72111
  3. “A Large Hiatal Hernia”: Atypical Presentation of Gastric Volvulus vol.1, pp.3, 2017, https://doi.org/10.5811/cpcem.2017.2.31075
  4. Gastric Volvulus: A Rare Entity Case Report and Literature Review vol.10, pp.3, 2015, https://doi.org/10.7759/cureus.2312
  5. Primary gastric volvulus: a report of two cases vol.2018, pp.8, 2015, https://doi.org/10.1093/jscr/rjy227
  6. A Case of Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy (LAPEG) for Gastric Volvulus vol.2019, pp.None, 2015, https://doi.org/10.1155/2019/3468084
  7. Successful outcome in acute gastric volvulus in a low resource hospital setting in Bangladesh: A case report vol.72, pp.None, 2015, https://doi.org/10.1016/j.ijscr.2020.06.006