Robert B Yates1, Marcelo W Hinojosa2, Andrew S Wright2, Carlos A Pellegrini2, Brant K Oelschlager2. 1. Department of surgery, University of Washington, 1959 NE Pacific Street, Suite BB-487, PO Box 356410, Seattle, WA 98195, USA. Electronic address: rby2@uw.edu. 2. Department of surgery, University of Washington, 1959 NE Pacific Street, Suite BB-487, PO Box 356410, Seattle, WA 98195, USA.
Abstract
BACKGROUND: Operative repair of obstructive gastric volvulus is challenging. In high-operative risk patients with obstructive gastric volvulus, we perform laparoscopic reduction of gastric volvulus and anterior abdominal wall sutured gastropexy. This case series reports our experience with this operation. METHODS: We reviewed the charts of all patients who presented with obstructive gastric volvulus and underwent laparoscopic gastropexy between 2007 and 2013. RESULTS: Eleven patients underwent laparoscopic gastropexy. Median age was 83 years (50 to 92). Six patients presented with chronic obstruction; 5 presented with acute obstruction. Median postoperative hospitalization was 2 days (1 to 39). Two patients required reoperation for displaced gastrostomy tubes. At median follow-up of 3 months (2 weeks to 57 months), all patients remained free of gastric obstructive symptoms and recurrent episodes of volvulus. Only 1 patient received nutrition via gastrostomy tube. CONCLUSIONS: Laparoscopic gastropexy can treat obstructed gastric volvulus in highoperative risk patients. Because of associated morbidity, gastrostomy tubes should be placed selectively.
BACKGROUND: Operative repair of obstructive gastric volvulus is challenging. In high-operative risk patients with obstructive gastric volvulus, we perform laparoscopic reduction of gastric volvulus and anterior abdominal wall sutured gastropexy. This case series reports our experience with this operation. METHODS: We reviewed the charts of all patients who presented with obstructive gastric volvulus and underwent laparoscopic gastropexy between 2007 and 2013. RESULTS: Eleven patients underwent laparoscopic gastropexy. Median age was 83 years (50 to 92). Six patients presented with chronic obstruction; 5 presented with acute obstruction. Median postoperative hospitalization was 2 days (1 to 39). Two patients required reoperation for displaced gastrostomy tubes. At median follow-up of 3 months (2 weeks to 57 months), all patients remained free of gastric obstructive symptoms and recurrent episodes of volvulus. Only 1 patient received nutrition via gastrostomy tube. CONCLUSIONS: Laparoscopic gastropexy can treat obstructed gastric volvulus in highoperative risk patients. Because of associated morbidity, gastrostomy tubes should be placed selectively.
Authors: Angela M Kao; Samuel W Ross; Javier Otero; Sean R Maloney; Tanushree Prasad; Vedra A Augenstein; B Todd Heniford; Paul D Colavita Journal: Surg Endosc Date: 2019-08-12 Impact factor: 4.584