A 91-year-old woman was admitted for rehabilitation after undergoing right total knee arthroplasty. Her oral intake was poor after hospitalization, and she experienced vomiting on the 13th day of the disease. Abdominal computed tomography showed mesenteroaxial gastric volvulus with a giant esophageal hiatal hernia, and she underwent endoscopic repair under X-ray fluoroscopic guidance. However, her oral intake did not improve following treatment secondary to gastric volvulus recurrence. She refused surgical intervention owing to her advanced age, and we performed percutaneous endoscopic gastropexy using a Funada-style loop gastropexy device. Her postoperative course was uneventful, and oral intake was gradually resumed without recurrence of gastric volvulus. Percutaneous endoscopic gastropexy may be a useful, less invasive treatment option in patients with gastric volvulus who are at high risk for surgery.
