Laparoscopic repair of hiatal hernia with mesenterioaxial volvulus of the stomach

Kazuki Inaba, Yoichi Sakurai, Jun Isogaki, Yoshiyuki Komori, Ichiro Uyama

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Although mesenterioaxial gastric volvulus is an uncommon entity characterized by rotation at the transverse axis of the stomach, laparoscopic repair procedures have still been controversial. We reported a case of mesenterioaxial intrathoracic gastric volvulus, which was successfully treated with laparoscopic repair of the diaphragmatic hiatal defect using a polytetrafuoroethylene mesh associated with Toupet fundoplication. A 70-year-old Japanese woman was admitted to our hospital because of sudden onset of upper abdominal pain. An upper gastrointestinal series revealed an incarcerated intrathoracic mesenterioaxial volvulus of the distal portion of the stomach and the duodenum. The complete laparoscopic approach was used to repair the volvulus. The laparoscopic procedures involved the repair of the hiatal hernia using polytetrafuoroethylene mesh and Toupet fundopli-cation. This case highlights the feasibility and effectiveness of the laparoscopic procedure, and laparoscopic repair of the hiatal defect using a polytetrafuoroethylene mesh associated with Toupet fundoplication may be useful for preventing postoperative recurrence of hiatal hernia, volvulus, and gastroesophageal refux.

Original languageEnglish
Pages (from-to)2054-2057
Number of pages4
JournalWorld Journal of Gastroenterology
Volume17
Issue number15
DOIs
Publication statusPublished - 21-04-2011

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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