Department of General Surgery, Banner University Medical Center, 1441 N. 12th St, 2nd floor, Phoenix, AZ, 85006, USA.
J Gastrointest Surg. 2017 Dec;21(12):2129-2131. doi: 10.1007/s11605-017-3527-6. Epub 2017 Aug 14.
Ischemic necrosis is a feared complication of acute gastric volvulus, occurring in 11% of patients presenting with the condition and responsible for mortality in 30%. In such cases, there are few well-validated options for surgical reconstruction. We present the case of a 77-year-old woman with intraabdominal mesenteroaxial gastric volvulus with segmental ischemic gastric necrosis who underwent wedge gastrectomy and hand-sewn gastrogastrostomy. She did well postoperatively and experienced no significant gastrointestinal complications. Gastric wedge resection with gastrogastrostomy presents a novel surgical intervention for a rare and highly morbid entity. We hope to add it to the repertoire of surgeons facing acute gastric volvulus complicated by segmental necrosis.
缺血性坏死是急性胃扭转的一种可怕并发症，在出现该病症的患者中发生率为 11%，并导致 30%的患者死亡。在这种情况下，手术重建的选择很少有很好的验证。我们报告了一例 77 岁女性，患有腹腔内肠系膜轴胃扭转伴节段性缺血性胃坏死，行楔形胃切除术和手工胃胃吻合术。她术后恢复良好，没有出现明显的胃肠道并发症。胃楔形切除术加胃胃吻合术为一种罕见且高度病态的实体提供了一种新的手术干预措施。我们希望将其添加到面对急性胃扭转并伴有节段性坏死的外科医生的手术方案中。
