Treatment of Chronic Gastric Volvulus by Percutaneous Endoscopic Gastrostomy.

Five adult cases of chronic gastric volvulus were treated by percutaneous endoscopic Gastrostomy (PEG) between October 1992 and September 1997. Four cases were organoaxial volvulus and one was mesentericoaxial volvulus (Fig. 2). Diagnosis of volvulus was made by upper Gl barium examination. The volvulus was reduced endoscopically and fixed by PEG using an indigenous PEG catheter. The tube was kept for 6 to 8 weeks. All patients were found to be asymptomatic at 3 months after removal of their PEG catheter. Barium examination revealed no recurrence. There was no procedure-related mortality. PEG is a safe and effective method for treating chronic gastric volvulus.