Journal article
Gastric remnant mesentero-axial volvulus following Roux-en-Y esophagojejunostomy: A rare complication
International journal of surgery case reports, v 82, 105873
01 May 2021
PMID: 33865197
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
INTRODUCTION: Acute gastric volvulus is a surgical emergency with a mortality as high as 15-20%. The rarity of gastric volvulus requires high index of clinical suspicion especially in the patients with altered anatomy, to allow immediate surgical intervention and reduce the morbidity and mortality.
PRESENTATION OF CASE: We present an unusual case of gastric remnant volvulus several months following Roux-en-Y esophagojejunostomy performed in an obese patient for severe, recurrent gastroesophageal reflux disease (GERD) and failed prior fundoplication. The patient was treated with gastropexy and Stamm gastrostomy tube.
DISCUSSION: Gastric volvulus is a rare phenomenon, in which the stomach rotates around the short (mesentero-axial) or longitudinal (organo-axial) axes. Diagnosis of gastric volvulus is challenging due to non-specific presentation and rarity of this clinical condition. The diagnosis of volvulus in patients with altered anatomy is even more challenging, requiring a high index of suspicion, and heavily relies on cross sectional imaging.
CONCLUSION: Extensive gastric mobilization is a key step in several foregut and bariatric surgeries, this will leave the stomach with no attachments posteriorly and along the greater curvature and increases the likelihood of volvulus. (C) 2021 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
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Details
- Title
- Gastric remnant mesentero-axial volvulus following Roux-en-Y esophagojejunostomy: A rare complication
- Creators
- Andrew D. Grubic - Allegheny Health NetworkJane Ohde - Allegheny Health NetworkShahin Ayazi - Allegheny Health NetworkBlair A. Jobe - Allegheny Health Network
- Publication Details
- International journal of surgery case reports, v 82, 105873
- Publisher
- Elsevier
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000670025700030
- Scopus ID
- 2-s2.0-85104062569
- Other Identifier
- 991022048376404721
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- Web of Science research areas
- Surgery