[Laparoscopic treatment of acute gastric volvulus].

Abstract

INTRODUCTION:

Gastric volvulus is an uncommon clinical condition and is associated with type ii-iii hiatal hernias. Its acute presentation constitutes a surgical emergency. Despite its low frequency, results of laparoscopic treatment have already been published.

MATERIAL AND METHODS:

A retrospective study was performed on all cases diagnosed with gastric volvulus undergoing laparoscopic surgery between 1998 and 2010. The surgical technique, the post-operative outcome, and the clinical follow-up are described.

RESULTS:

A total of 10 cases were identified, one was a primary gastric volvulus, and the remainder were secondary. A laparoscopic anterior gastropexy as the sole procedure was performed on 7 patients. A Nissen fundoplication with mesh reinforcement of the crural closure was performed on the 3 remaining cases. Postoperative outcome was uneventful in 9 patients, with an early start of the diet, and hospital discharge between 48-72 h. After a mean follow-up period of 18 months, radiological hernia recurrence occurred in one case but recurrence of the volvulus was not observed.

CONCLUSION:

Laparoscopic anterior gastropexy is, in our experience, an effective and safe procedure with a low morbidity, for the treatment of acute gastric volvulus in patients with high surgical risk.

• Authors: Rosario Martínez García, Nuria Peris Tomás, Carlos Domingo Del Pozo, Antonio Vázquez Tarragón, Ezequiel Martínez Mas, Ramon Trullenque Juan, Manuel Martínez Abad
• Journal: Cirugia espanola (Cir Esp) Vol. 91 Issue 3 Pg. 189-93 (Mar 2013) ISSN: 1578-147X [Electronic] Spain
• Vernacular Title: Tratamiento del vólvulo gástrico agudo mediante abordaje laparoscópico.
• PMID: 22624957 (Publication Type: English Abstract, Journal Article)
• Copyright: Copyright © 2011 AEC. Published by Elsevier Espana. All rights reserved.

Topics

• Acute Disease
• Adult
• Aged
• Aged, 80 and over
• Female
• Humans
• Laparoscopy
• Male
• Middle Aged
• Retrospective Studies
• Stomach Volvulus (surgery)