EJMCR. 2020; 4(9): 319-322

Endoscopic reduction of gastric volvulus in a patient with hiatal hernia

Authors: Amrin M. Kharawala, Josiah McCain, Kevin Ruff.

ABSTRACT

Background: Gastric volvulus, characterized by twisting of the stomach over its axis, is an under-recognized complication of hiatal hernia. It is difficult to pass an endoscope through a volvulus, and hence, surgery is considered as the most common treatment modality. However, in this report, we provide a stepwise approach with images to provide therapeutic treatment via endoscopy with its role in the diagnosis of this condition. Case Presentation: We present the case of a 78-year-old female who presented with an acute episode of nausea and vomiting, associated with severe upper abdominal and mid-chest pain radiating to her back. Esophagogastroduodenoscopy showed the presence of gastric volvulus in the sac of a large hiatal hernia, which was confirmed on computed tomography. We avoided the need for an emergency surgery by successfully reducing the gastric volvulus via endoscopy under monitored anesthesia care and endotracheal intubation. Conclusion: Endoscopic reduction can be an effective therapy for the treatment of gastric volvulus, especially in patients who are poor surgical candidates.

Keywords:
Endoscopy, esophagogastroduodenoscopy, dysphagia, abdominal pain, hiatal hernia, gastric volvulus, case report


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Endoscopic reduction of gastric volvulus in a patient with hiatal hernia


Authors
Amrin M Kharawala
Student, Medical College Baroda, Anandpura, Vadodara, Gujarat, India
PubMed articlesGoogle scholar articles

Josiah McCain
MD, Department of Gastroenterology, Mayo Clinic, Scottsdale, Arizona, USA
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Kevin Ruff
MD, Department of Gastroenterology, Mayo Clinic, Scottsdale, Arizona, USA
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Correspondence to:
. Amrin M. Kharawala, Student, Medical College Baroda, Gujarat, India.; amrinkharawala95@gmail.com

Publication history
Received 30 Jun 2020
Revised 04 Sep 2020
Accepted 14 Sep 2020
Published online 11 Oct 2020
Published in print 17 Oct 2020

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Pubmed Style

Kharawala AM, McCain J, Ruff K. Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. EJMCR. 2020; 4(9): 319-322. doi:10.24911/ejmcr/173-1593504015


Web Style

Kharawala AM, McCain J, Ruff K. Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. https://www.ejmcr.com/?mno=120350 [Access: October 23, 2020]. doi:10.24911/ejmcr/173-1593504015


AMA (American Medical Association) Style

Kharawala AM, McCain J, Ruff K. Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. EJMCR. 2020; 4(9): 319-322. doi:10.24911/ejmcr/173-1593504015


Vancouver/ICMJE Style

Kharawala AM, McCain J, Ruff K. Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. EJMCR. (2020), [cited October 23, 2020]; 4(9): 319-322. doi:10.24911/ejmcr/173-1593504015


Harvard Style

Kharawala, A. M., McCain, . J. & Ruff, . K. (2020) Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. EJMCR, 4 (9), 319-322. doi:10.24911/ejmcr/173-1593504015


Turabian Style

Kharawala, Amrin M., Josiah McCain, and Kevin Ruff. 2020. Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. European Journal of Medical Case Reports, 4 (9), 319-322. doi:10.24911/ejmcr/173-1593504015


Chicago Style

Kharawala, Amrin M., Josiah McCain, and Kevin Ruff. "Endoscopic reduction of gastric volvulus in a patient with hiatal hernia." European Journal of Medical Case Reports 4 (2020), 319-322. doi:10.24911/ejmcr/173-1593504015


MLA (The Modern Language Association) Style

Kharawala, Amrin M., Josiah McCain, and Kevin Ruff. "Endoscopic reduction of gastric volvulus in a patient with hiatal hernia." European Journal of Medical Case Reports 4.9 (2020), 319-322. Print. doi:10.24911/ejmcr/173-1593504015


APA (American Psychological Association) Style

Kharawala, A. M., McCain, . J. & Ruff, . K. (2020) Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. European Journal of Medical Case Reports, 4 (9), 319-322. doi:10.24911/ejmcr/173-1593504015


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