2017 Volume 59 Issue 3 Pages 277-283
An 85-year-old woman was referred to our hospital with the chief complaints of epigastric pain and nausea. Simple CT on admission showed that she had gastric volvulus and the oral side of the stomach had been extended. Contrast-enhanced CT suggested that blood flow in the pyloric region of the stomach was poor. Therefore, endoscopic gastric volvulus reduction using an Endoscope Position Detecting Unit (UPD) was performed. Her postoperative course was good and the patient was discharged from our hospital. Six months after gastric volvulus reduction, laparoscopic stomach fixation surgery was performed to prevent relapse, and the gastric volvulus has not relapsed. We succeeded in reduction of gastric volvulus by initially checking the direction of torsion of the stomach by using a UPD.
