Mikst tip gastrik volvulus ve laparoskopik tedavisi

Gastrik volvulus hayatı tehdit edebilen ve nadir görülen bir durum olmakla birlikte; tanı konulması zor bir hastalıktır. Bu hastalık spesifik olmayan abdominal semptomlarla ilerleyebileceğinden tanısı gecikebilir veya atlanabilir. Distansiyonun eşlik ettiği, epigastriumda ağrı, öğürme, kusma ve kilo kaybı şikâyetleriyle başvuran hastalarda gastrik volvulus ayırıcı tanıda akılda tutulmalıdır. Radyolojik görüntüleme yöntemlerinden akciğer grafisi ve torakoabdominal bilgisayarlı tomografi tanıya yardımcı olabilir. Paraözefageal fıtığa ikincil olarak gastrik volvulus için halen kabul edilen tedavi yöntemi minimal invaziv tekniklerdir. Bu yazımızda çok nadir bir tip olan mikst tip gastrik volvuluslu 65 yaşındaki erkek hastayı sunmayı amaçladık.

Anahtar Kelimeler:

Mide volvulusu, diafragma hernisi, laparoskopik tedavi

MIXED TYPE GASTIC VOLVULUS AND ITS LAPAROSCOPIC MANAGEMENT

Although gastric volvulus is a rarely occurring and life-threatening entity, it is difficult to diagnose. As this disease may progress with non-specific abdominal symptoms, its diagnosis may be delayed or overlooked. It should be kept in mind in the differential diagnosis of the patients presenting with complaints of epigastric pain, retching, vomiting and weight loss accompanied by distension. Of the radiological imaging modalities, chest x-ray and thoracoabdominal computerized tomography may be useful for the diagnosis. Right now accepted modes of treatment for gastric volvulus secondary to paraesophageal hernia are minimally invasive techniques. In the present article, we aimed to present a 65-year-old male with mixed type gastric volvulus, a quite rare type of volvulus.

Keywords:

Gastric volvulus, diaphragmatic hernia, laparoscopic treatment,

PDF

___

Lee TC, Liu KL, Lin MT, Wang HP. Unusual cause of emesis in an octogenarian: organoaxial gastric volvulus associated with paraesophageal diaphragmatic hernia. J Am Geriatr Soc. 2006; 54: 555-7.
Karabulut R, Türkyilmaz Z, Sönmez K, et al. Delayed presentation of congenital diaphragmatic hernia with intrathoracic gastric volvulus. World J Pediatr. 2009; 5: 226-228.
Jamil L, Huang B, Kunkel D, et al. Successful gastric volvulus reduction and gastropexy using a dual endo-scope technique. Case Rep Med. 2014;2014:136381.
Chau B, Dufel S. Gastric volvulus. Emerg Med J. 2007; 24: 446-7.
Palanivelu C, Rangarajan M, Shetty AR, Senthilkumar R. Laparoscopic suture gastropexy for gastric volvulus: a report of 14 cases. Surg Endosc. 2007; 21: 863–6.
Januschowski R. Endoscopic repositioning of the up side down stomach and its fixation by percutaneous endoscopic gastrostomy. Dtsch Med Wochenschr. 1996;121:1261–4.
Ellis H. (çev: Andican A.) : Divertikül volvulus ve ileus. In: Schwartz SI, Ellis H. ed(s) (çev editörü: Andican A.). Maingot Abdominal Operasyonlar. 8. baskı. İstanbul: Nobel Tıp Kitabevi 1989: 531–548.
Lee HY, Park JH, Kim SG. Chronic gastric volvulus with laparoscopic gastropexy after endoscopic reduction: a case report. J Gastric Cancer. 2015;15:147–50.
Farag S, Fiallo V, Nash S, Navab F. Gastric perforation in a case of gastric volvulus. Am J Gastroenterol. 1996; 91: 1863–4.
Askew AR. Treatment of acute and chronic gastric volvulus. Ann R Col Surg Eng. 1978; 60: 326–8.