Case Report

Volume: 4 | Issue: 9 | Published: Oct 11, 2020 | Pages: 319 - 322 | DOI: 10.24911/ejmcr/173-1593504015

Endoscopic reduction of gastric volvulus in a patient with hiatal hernia


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


Article Info

Authors

Amrin M. Kharawala

Student, Medical College Baroda, Anandpura, Vadodara, Gujarat, India

Josiah McCain

MD, Department of Gastroenterology, Mayo Clinic, Scottsdale, Arizona, USA

Kevin Ruff

MD, Department of Gastroenterology, Mayo Clinic, Scottsdale, Arizona, USA

Publication History

Received: June 30, 2020

Revised: September 04, 2020

Accepted: September 14, 2020

Published: October 11, 2020


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, green


Pubmed Style

Amrin M. Kharawala, Josiah McCain, Kevin Ruff. Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. EJMCR. 2020; 11 (October 2020): 319-322. doi:10.24911/ejmcr/173-1593504015

Web Style

Amrin M. Kharawala, Josiah McCain, Kevin Ruff. Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. https://ejmcr.com/articles/1399 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1593504015

AMA (American Medical Association) Style

Amrin M. Kharawala, Josiah McCain, Kevin Ruff. Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. EJMCR. 2020; 11 (October 2020): 319-322. doi:10.24911/ejmcr/173-1593504015

Vancouver/ICMJE Style

Amrin M. Kharawala, Josiah McCain, Kevin Ruff. Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. EJMCR. (2020), [cited December 25, 2024]; 11 (October 2020): 319-322. doi:10.24911/ejmcr/173-1593504015

Harvard Style

Amrin M. Kharawala, Josiah McCain, Kevin Ruff (2020) Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. EJMCR, 11 (October 2020): 319-322. doi:10.24911/ejmcr/173-1593504015

Chicago Style

Amrin M. Kharawala, Josiah McCain, Kevin Ruff. "Endoscopic reduction of gastric volvulus in a patient with hiatal hernia." 11 (2020), 319-322. doi:10.24911/ejmcr/173-1593504015

MLA (The Modern Language Association) Style

Amrin M. Kharawala, Josiah McCain, Kevin Ruff. "Endoscopic reduction of gastric volvulus in a patient with hiatal hernia." 11.October 2020 (2020), 319-322. Print. doi:10.24911/ejmcr/173-1593504015

APA (American Psychological Association) Style

Amrin M. Kharawala, Josiah McCain, Kevin Ruff (2020) Endoscopic reduction of gastric volvulus in a patient with hiatal hernia. , 11 (October 2020), 319-322. doi:10.24911/ejmcr/173-1593504015