A CASE OF VOMITING-ASSOCIATED GASTRIC VOLVULUS OCCURRING AFTER PERCUTANEOUS ENDOSCOPIC GASTROSTOMY

Abstract

A 74-year-old man with a history of dysphagia due to stroke was admitted to our hospital in order to undergo percutaneous endoscopic gastrostomy (PEG). After receiving nutrition through the gastrostomy tube, he vomited repeatedly and developed aspiration pneumonia. He was diagnosed with gastric volvulus during endoscopic examination of the upper gastrointestinal tract. Removal of fixation sutures from the gastric wall enabled him to receive foods via the gastrostomy tube. Although PEG has been used for treatment of gastric volvulus in adults, we report a case of gastric volvulus associated with PEG.