Author:
Carolina Jimenez Maria,M. Martinez Jose,F. Cubas Robert
Abstract
Gastric volvulus is one of the most worrisome complications related to large paraesophageal hernias. It is a medical emergency that requires high index of suspicion and prompt management and operation during the index admission. Here we discuss the pathophysiology and classification of gastric volvulus, clinical and radiological presentation, and treatment options. The approaches described here include endoscopic, laparoscopic, robotic and open. We advocate for the first three approaches and usually save the open approach for certain redo operations or patients with significant adhesions from prior mediastinal or foregut surgeries.
Reference25 articles.
1. Morelli U, Bravetti M, Ronca P, Cirocchi R, De Sol A, Spizzirri A, et al. Laparoscopic anterior gastropexy for chronic recurrent gastric volvulus: A case report. Journal of Medical Case Reports. 2008;2:244
2. El Mouhafid FYM, Bounaim A, Moujahid M. Gastric volvulus: A challenge to diagnosis and management. World Journal of Surgery and Surgical Research. 2020;3:1236
3. Imperatore K, Olivieri B, Vincentelli C. Acute gastric volvulus: A deadly but commonly forgotten complication of hiatal hernia. Autopsy & Case Reports. 2016;6(1):21-26
4. Mazaheri P, Ballard DH, Neal KA, Raptis DA, Shetty AS, Raptis CA, et al. CT of gastric volvulus: Interobserver reliability, Radiologists' accuracy, and imaging findings. American Journal of Roentgenology. 2019;212(1):103-108
5. Rashid F, Thangarajah T, Mulvey D, Larvin M, Iftikhar SY. A review article on gastric volvulus: A challenge to diagnosis and management. International Journal of Surgery. 2010;8(1):18-24