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Laparoscopic repair of paraesophageal hernia with organo-axial intrathoracic gastric volvulus.
Asian J Endosc Surg. 2020 Jul; 13(3):437-440.AJ

Abstract

Intrathoracic organo-axial gastric volvulus is a rare clinical entity associated with paraesophageal hernia. It is characterized by migration of the stomach into the thoracic cavity through an enlarged hiatal defect and rotation around its long axis connecting the cardia and the pylorus. A 72-year-old woman presented with epigastric pain that radiated to the left scapula for 1 week prior to presentation. Computed tomography scan of her thorax and abdomen demonstrated paraoesophageal hernia with organo-axial intrathoracic gastric volvulus. Laparoscopically, the stomach was returned to its abdominal position, the mediastinal sac was excised and after adequate intra-abdominal length of the esophagus was attained, the hiatal defect was closed primarily and reinforced with a composite mesh. An anterior 180° partial fundoplication was performed as both an anti-reflux procedure and also as a form of gastropexy. She had an uneventful recovery and remains well after 2 years.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Siow SL
Department of General Surgery, Sarawak General Hospital, Ministry of Health Malaysia, Kuching, Malaysia. Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kuching, Malaysia.
Chuah JS
Department of General Surgery, Sarawak General Hospital, Ministry of Health Malaysia, Kuching, Malaysia.
Mahendran HA
Department of General Surgery, Hospital Sultanah Aminah, Ministry of Health Malaysia, Johor Bahru, Malaysia.

MeSH

AgedFemaleFundoplicationHernia, HiatalHumansLaparoscopyStomach Volvulus

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31338969

Citation

Siow, Sze Li, et al. "Laparoscopic Repair of Paraesophageal Hernia With Organo-axial Intrathoracic Gastric Volvulus." Asian Journal of Endoscopic Surgery, vol. 13, no. 3, 2020, pp. 437-440.
Siow SL, Chuah JS, Mahendran HA. Laparoscopic repair of paraesophageal hernia with organo-axial intrathoracic gastric volvulus. Asian J Endosc Surg. 2020;13(3):437-440.
Siow, S. L., Chuah, J. S., & Mahendran, H. A. (2020). Laparoscopic repair of paraesophageal hernia with organo-axial intrathoracic gastric volvulus. Asian Journal of Endoscopic Surgery, 13(3), 437-440. https://doi.org/10.1111/ases.12740
Siow SL, Chuah JS, Mahendran HA. Laparoscopic Repair of Paraesophageal Hernia With Organo-axial Intrathoracic Gastric Volvulus. Asian J Endosc Surg. 2020;13(3):437-440. PubMed PMID: 31338969.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic repair of paraesophageal hernia with organo-axial intrathoracic gastric volvulus. AU - Siow,Sze Li, AU - Chuah,Jun Sen, AU - Mahendran,Hans Alexander, Y1 - 2019/07/23/ PY - 2019/07/01/received PY - 2019/07/05/accepted PY - 2019/7/25/pubmed PY - 2021/8/18/medline PY - 2019/7/25/entrez KW - gastric volvulus KW - hiatal hernia KW - paraesophageal hernia SP - 437 EP - 440 JF - Asian journal of endoscopic surgery JO - Asian J Endosc Surg VL - 13 IS - 3 N2 - Intrathoracic organo-axial gastric volvulus is a rare clinical entity associated with paraesophageal hernia. It is characterized by migration of the stomach into the thoracic cavity through an enlarged hiatal defect and rotation around its long axis connecting the cardia and the pylorus. A 72-year-old woman presented with epigastric pain that radiated to the left scapula for 1 week prior to presentation. Computed tomography scan of her thorax and abdomen demonstrated paraoesophageal hernia with organo-axial intrathoracic gastric volvulus. Laparoscopically, the stomach was returned to its abdominal position, the mediastinal sac was excised and after adequate intra-abdominal length of the esophagus was attained, the hiatal defect was closed primarily and reinforced with a composite mesh. An anterior 180° partial fundoplication was performed as both an anti-reflux procedure and also as a form of gastropexy. She had an uneventful recovery and remains well after 2 years. SN - 1758-5910 UR - https://www.unboundmedicine.com/medline/citation/31338969/Laparoscopic_repair_of_paraesophageal_hernia_with_organo_axial_intrathoracic_gastric_volvulus_ DB - PRIME DP - Unbound Medicine ER -