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 journalArticlepeer-review

12 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 2009

All Science Journal Classification (ASJC) codes

  • Surgery

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