Laparoscopic repair of hiatal hernia with mesenterioaxial volvulus of the stomach

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

研究成果: Article査読

5 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)2054-2057
ページ数4
ジャーナルWorld Journal of Gastroenterology
17
15
DOI
出版ステータスPublished - 21-04-2011

All Science Journal Classification (ASJC) codes

  • 消化器病学

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