Katelin A Mirkin, MD, Samantha R Witte, MD, Vamsi V Alli, MD. Penn State Health Milton S. Hershey Medical Center
Gastric volvulus in adults is a rare and potentially fatal condition. The use of dual percutaneous endoscopic gastrostomy has been described in the management of gastric volvulus. This technique involves endoscopic de-rotation of the stomach, and subsequent placement of 2 PEG tubes for fixation. While this technique has been employed for over 30 years, there is little in the literature detailing complications and outcomes. Herein we present a case report of a gastric volvulus managed with endoscopic reduction and dual PEG tube fixation complicated by an internal hernia and intra-colonic PEG. This complication was successfully managed laparoscopically.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94165
Program Number: V041
Presentation Session: Exhibit Hall Theater Video Session I
Presentation Type: EHVideo