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Gastric Volvulus with Segmental Necrosis Treated with Wedge Resection and Gastrogastrostomy

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Journal of Gastrointestinal Surgery

Abstract

Ischemic necrosis is a feared complication of acute gastric volvulus, occurring in 11% of patients presenting with the condition and responsible for mortality in 30%. In such cases, there are few well-validated options for surgical reconstruction. We present the case of a 77-year-old woman with intraabdominal mesenteroaxial gastric volvulus with segmental ischemic gastric necrosis who underwent wedge gastrectomy and hand-sewn gastrogastrostomy. She did well postoperatively and experienced no significant gastrointestinal complications. Gastric wedge resection with gastrogastrostomy presents a novel surgical intervention for a rare and highly morbid entity. We hope to add it to the repertoire of surgeons facing acute gastric volvulus complicated by segmental necrosis.

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Authors and Affiliations

  1. Department of General Surgery, Banner University Medical Center, 1441 N. 12th St, 2nd floor, Phoenix, AZ, 85006, USA

    Alexa Elizabeth Merz & Jennifer Francis Preston

Authors
  1. Alexa Elizabeth Merz
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  2. Jennifer Francis Preston
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Contributions

Dr. Merz completed the relevant literature review, drafting of the manuscript, and preparation of images for publication. Dr. Preston assisted with determination of intellectual content, manuscript editing, and final approval for publication. Both authors participated in the patient’s clinical evaluation, surgical treatment, and postoperative care.

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Correspondence to Alexa Elizabeth Merz.

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Merz, A., Preston, J.F. Gastric Volvulus with Segmental Necrosis Treated with Wedge Resection and Gastrogastrostomy. J Gastrointest Surg 21, 2129–2131 (2017). https://doi.org/10.1007/s11605-017-3527-6

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  • DOI: https://doi.org/10.1007/s11605-017-3527-6

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