A case of laparoscopic gastropexy for adult gastric volvulus Toshikatsu TSUJI 1 , Kazushige SHIBAHARA 1 , Masahiro HADA 1 , Akira TAKEHARA 1 , Zensei NOZAKI 1 1Department of Surgery,Toyama Red Cross Hospital Keyword: 胃軸捻転症 , 腹腔鏡下胃固定術 pp.191-197
Published Date 2014/3/15
DOI https://doi.org/10.11477/mf.4426101074
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A 67-year-old woman visited our emergency unit with a chief complaint of nausea. She was diagnosed as having short-axial gastric volvulus by plain abdominal computed tomography. Although endoscopic reduction was not applicable, there were no apparent findings of vascular insufficiency. Because abdominal symptoms were alleviated by decompression with a nasogastric tube, conservative therapy was continued. The following day, oral food intake was started. Because no relapse of abdominal symptoms was observed, she was discharged. One day after discharge, abdominal bloating and nausea relapsed, and she again visited our hospital. She was diagnosed as having relapse of gastric volvulus, and decompression with a nasogastric tube was applied. Immediate symptom relief was achieved. However, because her condition relapsed within a short period of time, she was referred to our department for surgery. Under the elective surgery policy, laparoscopic gastropexy was performed. Her volvulus had already become untwisted by the time of surgery. The gastric fornix and the abdominal wall were sutured with 3 stitches by internal ligation with 3-0 PROLENE suture. The postoperative course has been uneventful, and there has been no relapse to date. We report our experience with this case of laparoscopic gastropexy performed for short-axial gastric volvulus along with a brief literature review.

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