Cirugía General y del Aparato Digestivo, Complejo Asistencial Universitario de Salamanca, España.
Cirugía General y del Aparato Digestivo, Complejo Asistencial Universitario de Salamanca.
Rev Esp Enferm Dig. 2019 Nov;111(11):894-895. doi: 10.17235/reed.2019.6174/2019.
Gastric volvulus is a rare entity that occurs as a consequence of a rotation of the stomach of more than 180°, with gastric outlet obstruction and vascular compromise. It occurs secondary to diaphragmatic defects in most cases and is mainly reported in elderly patients who are fragile and present severe associated comorbidities. Here we present a nonsurgical treatment with the use of a single percutaneous endoscopic tube to perform gastropexy in patients with a high risk for surgery or inoperable patients. We present two cases that show that this therapeutic option is viable, with acceptable results under very specific clinical conditions.
胃扭转是一种罕见的疾病，其特征是胃发生超过 180°的旋转，导致胃出口梗阻和血管受压。大多数情况下，胃扭转继发于横膈缺陷，主要发生于身体脆弱且合并严重相关疾病的老年患者。在此，我们介绍了一种使用单个经皮内镜管进行胃固定术的非手术治疗方法，适用于手术风险高或无法手术的患者。我们报告了两个病例，表明在非常特定的临床情况下，这种治疗选择是可行的，且结果可接受。
