J Gastroenterol Hepatol Endosc | Volume 4, Issue 4 | Short Communication | Open Access
Maria K Bejar*, Adolfo Leyva-Alvizo, Eduardo Gonzalez and Mario Rodarte
Department of Surgery, School of Medicine and Health Sciences TecSalud ITESM, Mexico
*Correspondance to: Maria K Bejar
Fulltext PDFBackground: Gastric volvulus is an abnormal rotation of the stomach along its longitudinal or transverse axis. 80% to 90% occurs in adults after the 5th decade of life and have 30% to 50% mortality. Methods: Case report of a patient with acute gastric volvulus treated with a successful laparoscopic surgery. IRB approval and written consent were not needed for this paper. Results: We report a case of an organo-axial gastric volvulus in an elderly patient with history of previous hiatal hernia and Gastroesophageal Reflux Disease treated with laparoscopic fundoplication and cruroplasty. The volvulus was seen in a CT scan. A subtotal gastrectomy and an omega gastrojejunal anastomosis were performed due to an incidental perforation during gastric reduction. The postoperative course was uneventful. Conclusion: Gastric volvulus is an uncommon condition; 70% are due to secondary causes. 60% are organo-axial volvulus. Borchadt’s triad occurs in 70% of the acute cases. The laparoscopic approach is the first choice of treatment for gastric volvulus, due to better results in terms of intrahospitalary stay, patient satisfaction and symptomatic resolution. A gastric resection is justified when there is ischemia, necrosis or perforation secondary to strangulation.
Gastric; Volvulus; Laparoscopic; Hiatal; Hernia; Borchadt’s triad; Gastrectomy
Bejar MK, Leyva-Alvizo A, Gonzalez E, Rodarte M. Gastric Volvulus in an Elderly Patient with Recurrent Hiatal Hernia Treated with Laparoscopic Surgery. J Gastroenterol Hepatol Endosc. 2019;4(4):1068..