Year 2019 / Volume 111 / Number 11
Letter
Nonsurgical endoscopic treatment of gastric volvulus in extremely high-risk surgical patients

894-895

DOI: 10.17235/reed.2019.6174/2019

Omar Abdel-lah Fernández, Felipe Parreño Manchado, Alberto Álvarez Delgado,

Abstract
Gastric volvulus is a rare entity that occurs as a consequence of a rotation of the stomach of more than 180°, with gastric outlet obstruction and vascular compromise. It occurs secondary to diaphragmatic defects in most cases and is mainly reported in elderly patients who are fragile and present severe associated comorbidities. Here we present a nonsurgical treatment with the use of a single percutaneous endoscopic tube to perform gastropexy in patients with a high risk for surgery or inoperable patients. We present two cases that show that this therapeutic option is viable, with acceptable results under very specific clinical conditions.
Share Button
New comment
Comments
No comments for this article
References
1. Polomsky M, Hu R, Sepesi B, et al. A population-based analysis of emergent vs elective hospital admisión for an intrathoracic. Surg Endosc. 2010;24:1250-1255.
2. Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg. 1980; 15:872-875.
3. Tsang TK, Johnson YL, Pollack J,Gore RM. Use of single percuaneous endoscopic gastrostomy in management of gastric volvulus in three patients. Digestive Disease and Sciences 1998;43: 2659-2665.
4. Fukita Y, Ishibashi H, Yashuda I et al. Upside-down stomach repositioned and fixed by colonoscopy-assisted percutaneous endoscopic gastrostomy. Endoscopy 2014; 46(S 01): E388-E389 DOI: 10.1055/s-0034-1377380
5. Tabo T. Hayashi H. Umeyama S. et al. Balloon repositioning of intratoracic upside-downside stomach and fixation by percutaneus endoscopic gastrostomy. J Am Coll Surg. 2003;5:868-871.
Citation tools
Abdel-lah Fernández O, Parreño Manchado F, Álvarez Delgado A. Nonsurgical endoscopic treatment of gastric volvulus in extremely high-risk surgical patients. 6174/2019


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 978 visits.
This article has been downloaded 204 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 15/01/2019

Accepted: 25/03/2019

Online First: 30/10/2019

Published: 07/11/2019

Article revision time: 44 days

Article Online First time: 288 days

Article editing time: 296 days


Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology