TY - JOUR
T1 - Successful treatment of acute esophageal necrosis caused by intrathoracic gastric volvulus
T2 - Report of a case
AU - Matsumoto, Noritaka
AU - Oki, Eiji
AU - Morita, Masaru
AU - Kakeji, Yoshihiro
AU - Egashira, Akinori
AU - Sadanaga, Noriaki
AU - Maehara, Yoshihiko
PY - 2009/12
Y1 - 2009/12
N2 - 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.
AB - 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.
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U2 - 10.1007/s00595-008-3983-4
DO - 10.1007/s00595-008-3983-4
M3 - Article
C2 - 19997803
AN - SCOPUS:72949087584
SN - 0941-1291
VL - 39
SP - 1068
EP - 1072
JO - Surgery today
JF - Surgery today
IS - 12
ER -