Endoscopic reduction of gastric volvulus in a patient with hiatal hernia
Authors: Amrin M Kharawala, Josiah McCain, Kevin Ruff
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
Authors
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
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
Kharawala AM, McCain J, Ruff K. Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. https://www.ejmcr.com/?mno=120350 [Access: April 18, 2024]. doi:
10.24911/ejmcr/173-1593504015
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
Kharawala AM, McCain J, Ruff K. Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. EJMCR. (2020), [cited April 18, 2024]; 4(9): 319-322. doi:
10.24911/ejmcr/173-1593504015
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
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
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
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
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