Naim H Joseph, Smith Robina, Gorecki Piotr J
Department of Surgery, New York Methodist Hospital, Brooklyn 11215, USA.
Surg Laparosc Endosc Percutan Tech. 2003 Dec;13(6):389-91. doi: 10.1097/00129689-200312000-00009.
Gastric volvulus is characterized by abnormal rotation of the stomach around an axis made by two fixed portions. Symptoms of gastric volvulus range from anemia and weight loss to severe epigastric or chest pain associated with nonproductive vomiting or upper gastrointestinal bleeding. Ischemia, necrosis, and perforation will occur if this condition remains untreated. We report a case of a 92-year-old patient with acute gastric volvulus treated with laparoscopic reduction and anterior gastropexy. We suggest that the laparoscopic approach to gastric volvulus is safe and feasible and should be considered. High-risk and elderly patients can particularly benefit from minimally invasive access. Anterior gastropexy palliates the symptoms and can be considered a definitive treatment in this patient population.
胃扭转的特征是胃围绕由两个固定部分形成的轴发生异常旋转。胃扭转的症状从贫血和体重减轻到伴有干呕或上消化道出血的严重上腹部或胸痛不等。如果这种情况不治疗，将会发生缺血、坏死和穿孔。我们报告一例92岁急性胃扭转患者，采用腹腔镜复位和胃前固定术治疗。我们认为，腹腔镜治疗胃扭转是安全可行的，应予以考虑。高危和老年患者尤其能从微创入路中获益。胃前固定术可缓解症状，可被视为该患者群体的确定性治疗方法。
