A case of laparoscopic gastropexy for adult idiopathic gastric volvulus Hiroo YANAGIBASHI 1 1Department of Hepato-Biliary-Pancreatic Surgery, Chiba Cancer Center Keyword: 胃軸捻転症 , 腹腔鏡下胃固定術 , 長期予後 pp.326-333
Published Date 2019/7/15
DOI https://doi.org/10.11477/mf.4426200718
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 A 69-year-old female was followed in complete remission state of malignant lymphoma at our hospital. She was admitted because of vomiting and abdominal distension. Abdominal X-ray and CT revealed gastric volvulus. We repositioned the stomach via endoscopic detorsion. The volvulus recurred seven and 11 months later and we performed endoscopic repositioning. We performed laparoscopic gastropexy electively because her general condition was stable. We confirmed the normal shape of the stomach and leading parts of gastric volvulus in preoperative examination and intraoperation carefully. We detected the leading parts and sutured the fornix of the stomach and the diaphragm by three knot ties, round ligament of the liver and lesser curvature of the antrum by one knot tie. The patient had a good postoperative course and was discharged 5 days after the operation. There was no recurrence for four years and the patient remained in stable condition. Laparoscopic gastropexy for gastric volvulus is considered an effective, minimally invasive treatment. It is important to fix the leading parts to keep the normal shape of the stomach.

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