Successful treatment of acute esophageal necrosis caused by intrathoracic gastric volvulus

Report of a case

Noritaka Matsumoto, Eiji Oki, Masaru Morita, Yoshihiro Kakeji, Akinori Egashira, Noriaki Sadanaga, Yoshihiko Maehara

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Gastric volvulus is a potentially lethal condition. We report a case of esophageal hiatal hernia with strangulation of the esophagus and stomach caused by gastric volvulus. A 79-year-old woman was admitted to our hospital in a state of shock, and investigations showed necrotic changes in most of her distal esophagus and gastric body. Thus, we performed an emergency total gastrectomy and transhiatal esophagectomy, followed 3 months later by successful reconstruction of the esophagus using the jejunum. Occasionally, a large hiatal hernia accompanies gastric volvulus; however, the extent of esophageal necrosis observed in this patient is very unusual. Although a large hiatal hernia is usually a chronic disorder, surgical treatment is recommended, considering the risk of serious complications.

Original languageEnglish
Pages (from-to)1068-1072
Number of pages5
JournalSurgery Today
Volume39
Issue number12
DOIs
Publication statusPublished - Dec 1 2009

Fingerprint

Hiatal Hernia
Stomach Volvulus
Necrosis
Esophagus
Stomach
Esophagectomy
Jejunum
Therapeutics
Gastrectomy
Shock
Emergencies
Intrathoracic Gastric Volvulus

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Successful treatment of acute esophageal necrosis caused by intrathoracic gastric volvulus : Report of a case. / Matsumoto, Noritaka; Oki, Eiji; Morita, Masaru; Kakeji, Yoshihiro; Egashira, Akinori; Sadanaga, Noriaki; Maehara, Yoshihiko.

In: Surgery Today, Vol. 39, No. 12, 01.12.2009, p. 1068-1072.

Research output: Contribution to journalArticle

Matsumoto, N, Oki, E, Morita, M, Kakeji, Y, Egashira, A, Sadanaga, N & Maehara, Y 2009, 'Successful treatment of acute esophageal necrosis caused by intrathoracic gastric volvulus: Report of a case', Surgery Today, vol. 39, no. 12, pp. 1068-1072. https://doi.org/10.1007/s00595-008-3983-4
Matsumoto, Noritaka ; Oki, Eiji ; Morita, Masaru ; Kakeji, Yoshihiro ; Egashira, Akinori ; Sadanaga, Noriaki ; Maehara, Yoshihiko. / Successful treatment of acute esophageal necrosis caused by intrathoracic gastric volvulus : Report of a case. In: Surgery Today. 2009 ; Vol. 39, No. 12. pp. 1068-1072.
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