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Laparoscopic management of totally intra-thoracic stomach with chronic volvulus.
World J Gastroenterol. 2013 Sep 21; 19(35):5848-54.WJ

Abstract

AIM

To evaluate the outcomes of patients who underwent laparoscopic repair of intra-thoracic gastric volvulus (IGV) and to assess the preoperative work-up.

METHODS

A retrospective review of a prospectively collected database of patient medical records identified 14 patients who underwent a laparoscopic repair of IGV. The procedure included reduction of the stomach into the abdomen, total sac excision, reinforced hiatoplasty with mesh and construction of a partial fundoplication. All perioperative data, operative details and complications were recorded. All patients had at least 6 mo of follow-up.

RESULTS

There were 4 male and 10 female patients. The mean age and the mean body mass index were 66 years and 28.7 kg/m(2), respectively. All patients presented with epigastric discomfort and early satiety. There was no mortality, and none of the cases were converted to an open procedure. The mean operative time was 235 min, and the mean length of hospitalization was 2 d. There were no intraoperative complications. Four minor complications occurred in 3 patients including pleural effusion, subcutaneous emphysema, dysphagia and delayed gastric emptying. All minor complications resolved spontaneously without any intervention. During the mean follow-up of 29 mo, one patient had a radiological wrap herniation without volvulus. She remains symptom free with daily medication.

CONCLUSION

The laparoscopic management of IGV is a safe but technically demanding procedure. The best outcomes can be achieved in centers with extensive experience in minimally invasive esophageal surgery.

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Authors+Show Affiliations

Toydemir T
Toygar Toydemir, Mehmet Ali Yerdel, Department of General Surgery, Istanbul Surgery Hospital, 34365 İstanbul, Turkey.
Çipe G
No affiliation info available
Karatepe O
No affiliation info available
Yerdel MA
No affiliation info available

MeSH

AgedChronic DiseaseFemaleFundoplicationHernia, HiatalHerniorrhaphyHumansLaparoscopyLength of StayMaleMiddle AgedRetrospective StudiesStomach VolvulusTime FactorsTomography, X-Ray ComputedTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24124329

Citation

Toydemir, Toygar, et al. "Laparoscopic Management of Totally Intra-thoracic Stomach With Chronic Volvulus." World Journal of Gastroenterology, vol. 19, no. 35, 2013, pp. 5848-54.
Toydemir T, Çipe G, Karatepe O, et al. Laparoscopic management of totally intra-thoracic stomach with chronic volvulus. World J Gastroenterol. 2013;19(35):5848-54.
Toydemir, T., Çipe, G., Karatepe, O., & Yerdel, M. A. (2013). Laparoscopic management of totally intra-thoracic stomach with chronic volvulus. World Journal of Gastroenterology, 19(35), 5848-54. https://doi.org/10.3748/wjg.v19.i35.5848
Toydemir T, et al. Laparoscopic Management of Totally Intra-thoracic Stomach With Chronic Volvulus. World J Gastroenterol. 2013 Sep 21;19(35):5848-54. PubMed PMID: 24124329.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic management of totally intra-thoracic stomach with chronic volvulus. AU - Toydemir,Toygar, AU - Çipe,Gökhan, AU - Karatepe,Oğuzhan, AU - Yerdel,Mehmet Ali, PY - 2013/04/17/received PY - 2013/07/26/revised PY - 2013/08/04/accepted PY - 2013/10/15/entrez PY - 2013/10/15/pubmed PY - 2014/3/14/medline KW - Hiatal hernia KW - Laparoscopic procedure KW - Mesh repair KW - Stomach KW - Volvulus SP - 5848 EP - 54 JF - World journal of gastroenterology JO - World J Gastroenterol VL - 19 IS - 35 N2 - AIM: To evaluate the outcomes of patients who underwent laparoscopic repair of intra-thoracic gastric volvulus (IGV) and to assess the preoperative work-up. METHODS: A retrospective review of a prospectively collected database of patient medical records identified 14 patients who underwent a laparoscopic repair of IGV. The procedure included reduction of the stomach into the abdomen, total sac excision, reinforced hiatoplasty with mesh and construction of a partial fundoplication. All perioperative data, operative details and complications were recorded. All patients had at least 6 mo of follow-up. RESULTS: There were 4 male and 10 female patients. The mean age and the mean body mass index were 66 years and 28.7 kg/m(2), respectively. All patients presented with epigastric discomfort and early satiety. There was no mortality, and none of the cases were converted to an open procedure. The mean operative time was 235 min, and the mean length of hospitalization was 2 d. There were no intraoperative complications. Four minor complications occurred in 3 patients including pleural effusion, subcutaneous emphysema, dysphagia and delayed gastric emptying. All minor complications resolved spontaneously without any intervention. During the mean follow-up of 29 mo, one patient had a radiological wrap herniation without volvulus. She remains symptom free with daily medication. CONCLUSION: The laparoscopic management of IGV is a safe but technically demanding procedure. The best outcomes can be achieved in centers with extensive experience in minimally invasive esophageal surgery. SN - 2219-2840 UR - https://www.unboundmedicine.com/medline/citation/24124329/Laparoscopic_management_of_totally_intra_thoracic_stomach_with_chronic_volvulus_ L2 - https://www.wjgnet.com/1007-9327/full/v19/i35/5848.htm DB - PRIME DP - Unbound Medicine ER -