Year 2020 / Volume 112 / Number 8
Letter
The role of percutaneous endoscopic gastrostomy in the treatment of acute gastric volvulus

662-663

DOI: 10.17235/reed.2020.6796/2019

José Luis Romera Martínez, Adriana Ruano Campos, Andrés Sánchez Pernaute,

Abstract
Gastric volvulus is an uncommon pathology that can occur acutely, in a chronic setting, or even as a casual finding. The primary kind occurs in 30% of patients. Secondary causes include hiatal hernia types II-III up to 70% of cases. The main treatment of acute gastric volvulus is gastric decompression, by means of a nasogastric tube (NGT) or endoscopy. However, it is not a procedure exempt from complications. Traditionally, definitive treatment involves surgery, consisting in hernia reduction with gastropexy/anti-reflux technique and/or hiatoplasty. We present the case of a 83-year-old woman with permanent atrial fibrillation, among other cardiovascular conditions.
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References
1. Martínez R, Peris N, Del Pozo CD, Vázquez A, et al. Tratamiento del vólvulo gástrico agudo mediante abordaje laparoscópico. Cir Esp. 2013;91(3): 189-193.
2. Guillén-Paredes MP, Pardo-García JL. Acute gastric volvulus: A case report. Rev Esp Enferm Dig. 2015; 107(3):173-4.
3. Lesquereux L, Macías F, Ferreiro R et al. Acute gastric volvulus: a surgical emergency. Rev Esp Enferm Dig. 2011; 103(4):219-220.
4. Testini M, Vacca A, Lissidini G et al. Acute intrathoracic gastric volvulus from a diaphragmatic hernia after left splenopancreatectomy: Report of a case. Surgery Today. 2006; 36(11):981-984.
5. Borchardt M. Zun pathologie and therapy des magnevolvulus. Arch klin Chir. 1904; 74:243-8.
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Romera Martínez J, Ruano Campos A, Sánchez Pernaute A. The role of percutaneous endoscopic gastrostomy in the treatment of acute gastric volvulus . 6796/2019


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Publication history

Received: 07/12/2019

Accepted: 13/12/2019

Online First: 20/07/2020

Published: 30/07/2020

Article Online First time: 226 days

Article editing time: 236 days


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