Laparoscopic repair of chronic intrathoracic gastric volvulus

Para-oesophageal and parahiatal hernias in an Asian acute care tertiary hospital: an underappreciated surgical condition

“…Although the numbers are small, this finding suggests that laparoscopic repair may be a feasible option for the treatment of PEH with associated gastric volvulus; this has been reported in other studies. (29,30) A more recent study by Teague et al also showed good results with no mortality in all of their 36 patients, five of which had chronic volvulus that were treated conservatively. (31) It is worth noting that, even though PEH is a rare condition in Asian populations and experience with PEH is limited, there were no mortalities in the present study.…”

Acute Mesenteroaxial Gastric Volvulus with Eventration of the Diaphragm

“…Early diagnosis and treatment ensure excellent prognosis. The overall mortality rates of acute gastric volvulus range from 15% to 20%, while those for chronic gastric volvulus range from 0% to 13% [8]. About more than 2/3 rd of these deaths are due to delay in the management of volvulus leading to complications like gastric ischemia, necrosis, perforation, peritonitis, and mediastinitis, all associated with poor prognosis.…”

Laparoscopic management of chronic gastric volvulus: A case report

“…In the literature, more cases treated with open surgery than by laparoscopy are described; however, laparoscopic surgery has only recently evolved, and this may be why open surgery seems to be the preferred modality statistically [6,7]. It is preferable to use laparoscopic treatment modalities for GV, because laparoscopic management is minimally invasive, involves a shorter hospital stay, and is associated with less postoperative morbidity than open surgery.…”

“…In particular, the treatment of associated paraesophageal hernia and the need to add antireflux surgery (fundoplication) is controversial. Many studies advise antireflux surgery in addition to the derotation of stomach [7,10]. The reason for adding antireflux surgery to treatment of GV is to prevent the further implicationsof gastroesophageal reflux disease (GERD).…”