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Laparoscopic repair of hiatal hernia with mesenterioaxial volvulus of the stomach.
World J Gastroenterol. 2011 Apr 21; 17(15):2054-7.WJ

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 polytetrafluoroethylene 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 polytetrafluoroethylene mesh and Toupet fundoplication. This case highlights the feasibility and effectiveness of the laparoscopic procedure, and laparoscopic repair of the hiatal defect using a polytetrafluoroethylene mesh associated with Toupet fundoplication may be useful for preventing postoperative recurrence of hiatal hernia, volvulus, and gastroesophageal reflux.

Authors+Show Affiliations

Department of Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo Kutsukake-cho Toyoake, Aichi 470-1192, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21528087

Citation

Inaba, Kazuki, et al. "Laparoscopic Repair of Hiatal Hernia With Mesenterioaxial Volvulus of the Stomach." World Journal of Gastroenterology, vol. 17, no. 15, 2011, pp. 2054-7.
Inaba K, Sakurai Y, Isogaki J, et al. Laparoscopic repair of hiatal hernia with mesenterioaxial volvulus of the stomach. World J Gastroenterol. 2011;17(15):2054-7.
Inaba, K., Sakurai, Y., Isogaki, J., Komori, Y., & Uyama, I. (2011). Laparoscopic repair of hiatal hernia with mesenterioaxial volvulus of the stomach. World Journal of Gastroenterology, 17(15), 2054-7. https://doi.org/10.3748/wjg.v17.i15.2054
Inaba K, et al. Laparoscopic Repair of Hiatal Hernia With Mesenterioaxial Volvulus of the Stomach. World J Gastroenterol. 2011 Apr 21;17(15):2054-7. PubMed PMID: 21528087.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic repair of hiatal hernia with mesenterioaxial volvulus of the stomach. AU - Inaba,Kazuki, AU - Sakurai,Yoichi, AU - Isogaki,Jun, AU - Komori,Yoshiyuki, AU - Uyama,Ichiro, PY - 2010/08/09/received PY - 2010/09/27/revised PY - 2010/10/04/accepted PY - 2011/4/30/entrez PY - 2011/4/30/pubmed PY - 2011/8/13/medline KW - Gastric volvulus KW - Hiatal hernia KW - Laparoscopic procedure KW - Mesenterioaxial form KW - Mesh repair SP - 2054 EP - 7 JF - World journal of gastroenterology JO - World J. Gastroenterol. VL - 17 IS - 15 N2 - 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 polytetrafluoroethylene 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 polytetrafluoroethylene mesh and Toupet fundoplication. This case highlights the feasibility and effectiveness of the laparoscopic procedure, and laparoscopic repair of the hiatal defect using a polytetrafluoroethylene mesh associated with Toupet fundoplication may be useful for preventing postoperative recurrence of hiatal hernia, volvulus, and gastroesophageal reflux. SN - 2219-2840 UR - https://www.unboundmedicine.com/medline/citation/21528087/Laparoscopic_repair_of_hiatal_hernia_with_mesenterioaxial_volvulus_of_the_stomach_ L2 - http://www.wjgnet.com/1007-9327/full/v17/i15/2054.htm DB - PRIME DP - Unbound Medicine ER -