Open AccessThe role of percutaneous endoscopic gastrostomy in the treatment of acute gastric volvulus
Author(s) -
José Luis Romera Martínez,
Adriana Ruano Campos,
Andrés Sánchez Pernaute
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.6796/2019
Subject(s) - medicine , percutaneous endoscopic gastrostomy , gastric volvulus , general surgery , percutaneous , gastrostomy , volvulus , gastroenterology , surgery , finance , peg ratio , economics
Gastric volvulus is an uncommon pathology that can occur acutely, in a chronic setting, or even as a casual finding. The primary kind occurs in 30% of patients. Secondary causes include hiatal hernia types II-III up to 70% of cases. The main treatment of acute gastric volvulus is gastric decompression, by means of a nasogastric tube (NGT) or endoscopy. However, it is not a procedure exempt from complications. Traditionally, definitive treatment involves surgery, consisting in hernia reduction with gastropexy/anti-reflux technique and/or hiatoplasty. We present the case of a 83-year-old woman with permanent atrial fibrillation, among other cardiovascular conditions.