Midgut Volvulus Following Laparoscopic Gastric Banding—A Rare and Dangerous Situation

Arbell, Dan; Koplewitz, Benjamin Z.; Zamir, Gideon; Bala, Miklosh

doi:10.1089/lap.2006.0102

Cited by 13 publications

(7 citation statements)

References 5 publications

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“…Features of intestinal obstruction in patients who have had previous laparotomy always raise the suspicion of adhesions as the aetiological factor. The other possible causes to consider are either postoperative midgut volvulus or internal herniation and few of the latter have been reported following laparoscopic appendicectomy, cholecystectomy and gastric banding operations [12][13][14] . The reason(s) for this rare phenomenon following laparoscopic operations is not well understood.…”

Section: Discussionmentioning

confidence: 99%

Recurrent intestinal volvulus in midgut malrotation causing acute bowel obstruction: A case report

Sheikh¹

2013

WJGS

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Intestinal malrotation occurs when there is a disruption in the normal embryological development of the bowel. The majority of patients present with clinical features in childhood, though rarely a first presentation can take place in adulthood. Recurrent bowel obstruction in patients with previous abdominal operation for midgut malrotation is mostly due to adhesions but very few reported cases have been due to recurrent volvulus. We present the case of a 22-year-old gentleman who had laparotomy in childhood for small bowel volvulus and then presented with acute bowel obstruction. Preoperative computerised tomography scan showed small bowel obstruction and features in keeping with midgut malrotation. Emergency laparotomy findings confirmed midgut malrotation with absent appendix, abnormal location of caecum, ascending colon and small bowel. In addition, there were small bowel volvulus and a segment of terminal ileal stricture. Limited right hemicolectomy was performed with excellent postoperative recovery. This case is presented to illustrate a rare occurrence and raise an awareness of the possibility of dreadful recurrent volvulus even several years following an initial Ladd's procedure for midgut malrotation. Therefore, one will need to exercise a high index of suspicion and this becomes very crucial in order to ensure prompt surgical intervention and thereby preventing an attendant bowel ischaemia with its associated high fatality.

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Section: Discussionmentioning

confidence: 99%

Recurrent intestinal volvulus in midgut malrotation causing acute bowel obstruction: A case report

Sheikh¹

2013

WJGS

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“…Erenbourg was described a ligament called 'gastro-pancreatic', and they suggested that the presence of this anatomic element can suggest new interpretations of the embryological development of the pancreas [3]. Several gastric volvulus cases have been reported after laparoscopic gastric banding, usually occurring after placement of the band [4][5][6]. They recommended not to dissect the posterior wall of the stomach during band replacement.…”

Section: Discussionmentioning

confidence: 99%

The appearance of a lurking ligament in Laparoscopic Sleeve Gastrectomy; Posterior Gastric Ligament

Ünver¹,

Öztürk²,

Karabuğa³

et al. 2017

Dicle Tıp Dergisi

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Objective: The aim of this study was to demonstrate a lurking ligament and its various formation types and to mention the importance of this ligament in Laparoscopic sleeve gastrectomy Methods: One hundred and twelve patients had laparoscopic sleeve gastrectomy (LSG) procedure in our clinic between March 2011 and September 2013. All procedures were performed with a standard operative technique. Only difference for the last 50 patients was to avoid the excessive dissection of posterior gastric wall. The existence of posterior gastric ligament was recorded and different types of posterior gastric ligament was demonstrated. Results: Posterior gastric ligament was observed in all of the cases in different formation types. Three types of ligament; complete, partial and skippy, was demonstrated. 53(47.3%) of the patients had skippy, while 41 (36.6%) had partial and 18 (16.1%) had complete type of posterior gastric ligament. Conclusion: A ligament named as 'posterior gastric ligament' and its various forms were defined in the third dimensional plane of stomach. Posterior gastric ligament remains as the only structure in LSG for preventing the mobility and ability of the stomach to rotate. The excessive dissection of the posterior gastric ligament should be avoided to prevent complications such as kinking and volvulus

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“…Volvulus blocks blood flow and leads to ischemia followed by necrosis. It can affect older children and adults as a late manifestation of malrotation (2,3) or from complication of a previous surgery, as an adherence or stoma may act as an axis around which the twisting occurs (4) . Volvulus occurring in the absence of malrotation and previous surgeries in patients submitted to laparoscopic surgery is rare, and few cases have been recently reported.…”

Section: Discussionmentioning

confidence: 99%

Midgut volvulus after laparoscopic appendectomy

Macedo

Velhote

2012

Einstein (São Paulo)

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Midgut Volvulus Following Laparoscopic Gastric Banding—A Rare and Dangerous Situation

Cited by 13 publications

References 5 publications

Recurrent intestinal volvulus in midgut malrotation causing acute bowel obstruction: A case report

Recurrent intestinal volvulus in midgut malrotation causing acute bowel obstruction: A case report

The appearance of a lurking ligament in Laparoscopic Sleeve Gastrectomy; Posterior Gastric Ligament

Midgut volvulus after laparoscopic appendectomy

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