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Video demonstration of the technique of laparoscopic gastrophrenopexy for the treatment of symptomatic primary organoaxial gastric volvulus.
J Laparoendosc Adv Surg Tech A. 2010 Jun; 20(5):507.JL

Abstract

AIM

The aim of this work was to demonstrate the technique of laparoscopic gastrophrenopexy performed for intermittent partial organoaxial volvulus.

METHODS

Two pediatric patients, with an initial presentation of postprandial epigastric discomfort, were investigated by upper gastrointestinal contrast meal. These investigations revealed the presence of a rare variant of primary organoaxial gastric volvulus. Both patients underwent a laparoscopy, which confirmed gastromegaly with redundant gastrophrenic and gastrolienal ligaments. A gastrophrenopexy was performed with initial pexy of, principally, the fundus to the left hemidiaphragm, using interrupted nonabsorbable sutures. The gastrophrenopexy was performed without an esophagocardiopexy or an anterior gastropexy. A video demonstrates the technical aspects of the procedure, and the associated pre- and postoperative imaging for both patients will be presented.

RESULTS

Both procedures were accomplished laparoscopically in less than 60 minutes, with no immediate postoperative complications. The patients were discharged the following day after a period of observation. Symptom resolution occurred with both patients. One patient underwent a repeat upper gastrointestinal contrast study 4 years post intervention, which demonstrated an intact gastropexy.

CONCLUSIONS

Laparoscopic gastrophrenopexy may be utilized for this rare variant of gastric organoaxial volvulus. This technique is durable over the medium term and is, therefore, recommended as the primary intervention in symptomatic pediatric patients.

Authors+Show Affiliations

Department of Pediatric Surgery, Royal Alexandra Children's Hospital, Brighton, UK.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20518692

Citation

Nataraja, Ramesh, and Anies Mahomed. "Video Demonstration of the Technique of Laparoscopic Gastrophrenopexy for the Treatment of Symptomatic Primary Organoaxial Gastric Volvulus." Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A, vol. 20, no. 5, 2010, p. 507.
Nataraja R, Mahomed A. Video demonstration of the technique of laparoscopic gastrophrenopexy for the treatment of symptomatic primary organoaxial gastric volvulus. J Laparoendosc Adv Surg Tech A. 2010;20(5):507.
Nataraja, R., & Mahomed, A. (2010). Video demonstration of the technique of laparoscopic gastrophrenopexy for the treatment of symptomatic primary organoaxial gastric volvulus. Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A, 20(5), 507. https://doi.org/10.1089/lap.2009.0448
Nataraja R, Mahomed A. Video Demonstration of the Technique of Laparoscopic Gastrophrenopexy for the Treatment of Symptomatic Primary Organoaxial Gastric Volvulus. J Laparoendosc Adv Surg Tech A. 2010;20(5):507. PubMed PMID: 20518692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Video demonstration of the technique of laparoscopic gastrophrenopexy for the treatment of symptomatic primary organoaxial gastric volvulus. AU - Nataraja,Ramesh, AU - Mahomed,Anies, PY - 2010/6/4/entrez PY - 2010/6/4/pubmed PY - 2010/10/12/medline SP - 507 EP - 507 JF - Journal of laparoendoscopic & advanced surgical techniques. Part A JO - J Laparoendosc Adv Surg Tech A VL - 20 IS - 5 N2 - AIM: The aim of this work was to demonstrate the technique of laparoscopic gastrophrenopexy performed for intermittent partial organoaxial volvulus. METHODS: Two pediatric patients, with an initial presentation of postprandial epigastric discomfort, were investigated by upper gastrointestinal contrast meal. These investigations revealed the presence of a rare variant of primary organoaxial gastric volvulus. Both patients underwent a laparoscopy, which confirmed gastromegaly with redundant gastrophrenic and gastrolienal ligaments. A gastrophrenopexy was performed with initial pexy of, principally, the fundus to the left hemidiaphragm, using interrupted nonabsorbable sutures. The gastrophrenopexy was performed without an esophagocardiopexy or an anterior gastropexy. A video demonstrates the technical aspects of the procedure, and the associated pre- and postoperative imaging for both patients will be presented. RESULTS: Both procedures were accomplished laparoscopically in less than 60 minutes, with no immediate postoperative complications. The patients were discharged the following day after a period of observation. Symptom resolution occurred with both patients. One patient underwent a repeat upper gastrointestinal contrast study 4 years post intervention, which demonstrated an intact gastropexy. CONCLUSIONS: Laparoscopic gastrophrenopexy may be utilized for this rare variant of gastric organoaxial volvulus. This technique is durable over the medium term and is, therefore, recommended as the primary intervention in symptomatic pediatric patients. SN - 1557-9034 UR - https://www.unboundmedicine.com/medline/citation/20518692/Video_demonstration_of_the_technique_of_laparoscopic_gastrophrenopexy_for_the_treatment_of_symptomatic_primary_organoaxial_gastric_volvulus_ L2 - https://www.liebertpub.com/doi/10.1089/lap.2009.0448?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -