Kataoka Jun, Nitta Toshikatsu, Ota Masato, Matsui Masahiro, Tominaga Tomo, Inoue Yoshihiro, Kawasaki Hiroshi, Sanda Hiroki, Takasaka Isao, Ishibashi Takashi
Department of Surgery, Gastroenterological Center, Shunjukai Shiroyama Hospital.
Department of Internal Medicine, Gastroenterological Center, Shunjukai Shiroyama Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2018;115(1):101-107. doi: 10.11405/nisshoshi.115.101.
Here, we report a case of adult gastric volvulus that was treated using an upper gastrointestinal series and provide a review of relevant reports. A 55-year-old woman presented with upper abdominal pain. Abdominal computed tomography revealed mesenteroaxial gastric volvulus. We performed an upper gastrointestinal series after the placement of a nasogastric tube. We successfully performed detorsion by repositioning. There was no recurrence of gastric volvulus after the detorsion. However, considering the risk of recurrence, we also performed laparoscopic gastropexy. The postoperative course was uneventful, and she was discharged from the hospital on postoperative day 3. No recurrence of symptoms has been observed to date.
在此，我们报告一例采用上消化道造影治疗的成人胃扭转病例，并对相关报告进行综述。一名55岁女性因上腹部疼痛就诊。腹部计算机断层扫描显示为系膜轴型胃扭转。在插入鼻胃管后，我们进行了上消化道造影。通过重新定位成功进行了扭转复位。扭转复位后胃扭转未复发。然而，考虑到复发风险，我们还进行了腹腔镜胃固定术。术后过程顺利，患者于术后第3天出院。迄今为止，未观察到症状复发。
