A patient with gastric volvulus treated by laparoscopic gastropexy after endoscopic repositioning Kei HOSODA 1 , Junya OGUMA 1 , Masahiko AOKI 1 , Hiromu KIDO 1 , Kingen NATSU 1 , Hikaru TAMURA 1 1Department of Surgery, Ohtawara Red Cross Hospital Keyword: 胃軸捻転症 , 腹腔鏡 , 胃固定術 pp.87-91
Published Date 2009/2/15
DOI https://doi.org/10.11477/mf.4426100297
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 Gastric volvulus is a relatively rare condition. In some cases, it requires surgery. We report a patient with gastric volvulus who was treated satisfactorily by laparoscopic gastropexy. An 81-year-old woman had been admitted to our hospital 4 times since 2001 for acute gastric dilatation of unknown origin. On each occasion, the symptoms had resolved after decompression with a nasogastric tube. In March 2007, the patient presented with the chief complaints of abdominal pain and nausea and was diagnosed as having gastric volvulus. A computed tomography(CT)scan revealed mesenteroaxial volvulus of the stomach, and she was again admitted to our hospital. Since decompression with a nasogastric tube did not achieve satisfactory results, endoscopic detorsion of the volvulus was performed, and her symptoms improved. Due to the recurrence of the volvulus in April 2007, laparoscopic gastropexy was performed using a 3-0 Vicryl suture. The patient's postoperative course was uneventful, and there has been no recurrence of the volvulus.

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