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http://dx.doi.org/10.5230/jgc.2015.15.2.147

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)
Publication Information
Journal of Gastric Cancer / v.15, no.2, 2015 , pp. 147-150 More about this Journal
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.
Keywords
Stomach volvulus; Laparoscopy; Gastropexy; Endoscopy;
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Times Cited By KSCI : 1  (Citation Analysis)
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