Esophageal Replacement by Colonic Interposition for the Surgical Management of Acute Necrotic Gastric Volvulus: A Case Report
Acute gastric volvulus, a condition where the stomach rotates around itself, is a rare clinical entity that requires prompt identification and immediate intervention to prevent life-threatening complications. Upon diagnosis, an emergent exploratory laparotomy is the procedure of choice, especially i...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-07, Vol.15 (7), p.e41257 |
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| creator | Vuu, Steven Reiss, Samantha L Aronson, Lauren Williamson, Tovah Ang, Darwin |
| description | Acute gastric volvulus, a condition where the stomach rotates around itself, is a rare clinical entity that requires prompt identification and immediate intervention to prevent life-threatening complications. Upon diagnosis, an emergent exploratory laparotomy is the procedure of choice, especially if complications, such as obstruction, ischemia, or perforation, are present. Management techniques and surgical corrections vary depending on the degree of obstruction, the consequent damage to surrounding structures, and the functional reservoir. We present a case of acute gastric volvulus with extensive esophageal and gastric necrosis requiring total gastrectomy and partial esophagectomy. We discuss the patient's operative management requiring colonic interposition with esophagocolonic anastomosis to reconnect this patient's gastrointestinal tract. |
| doi_str_mv | 10.7759/cureus.41257 |
| format | Article |
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Upon diagnosis, an emergent exploratory laparotomy is the procedure of choice, especially if complications, such as obstruction, ischemia, or perforation, are present. Management techniques and surgical corrections vary depending on the degree of obstruction, the consequent damage to surrounding structures, and the functional reservoir. We present a case of acute gastric volvulus with extensive esophageal and gastric necrosis requiring total gastrectomy and partial esophagectomy. We discuss the patient's operative management requiring colonic interposition with esophagocolonic anastomosis to reconnect this patient's gastrointestinal tract.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.41257</identifier><identifier>PMID: 37529822</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Abdomen ; Abscesses ; Anatomy ; Case reports ; Chest tubes ; Colon ; Esophagus ; Fistula ; Gastroenterology ; Gastrointestinal surgery ; General Surgery ; Hernias ; Ischemia ; Laparotomy ; Medical imaging ; Ostomy ; Small intestine ; Stomach ; Sutures ; Tracheotomy</subject><ispartof>Curēus (Palo Alto, CA), 2023-07, Vol.15 (7), p.e41257</ispartof><rights>Copyright © 2023, Vuu et al.</rights><rights>Copyright © 2023, Vuu et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). 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| ispartof | Curēus (Palo Alto, CA), 2023-07, Vol.15 (7), p.e41257 |
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| language | eng |
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| source | PubMed Central Open Access; PubMed Central |
| subjects | Abdomen Abscesses Anatomy Case reports Chest tubes Colon Esophagus Fistula Gastroenterology Gastrointestinal surgery General Surgery Hernias Ischemia Laparotomy Medical imaging Ostomy Small intestine Stomach Sutures Tracheotomy |
| title | Esophageal Replacement by Colonic Interposition for the Surgical Management of Acute Necrotic Gastric Volvulus: A Case Report |
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