• The American surgeon · May 1993

    Case Reports

    Laparoscopic reduction of acute gastric volvulus.

    • K E Koger and J M Stone.
    • Department of Surgery, Stanford University School of Medicine, California.
    • Am Surg. 1993 May 1; 59 (5): 325-8.

    AbstractThe traditional surgical treatment of gastric volvulus involves upper abdominal laparotomy with gastric detorsion, fixation, and, when present, repair of associated diaphragmatic hernia. We describe a case of organoaxial gastric volvulus associated with a paraesophageal hernia in a poor risk patient, which was successfully treated with laparoscopic detorsion and percutaneous endoscopic gastropexy. This approach avoided the morbidity of a laparotomy and allowed the rapid recovery of gastric function.

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