The Experts below are selected from a list of 1296 Experts worldwide ranked by ideXlab platform
Naoto Urushihara - One of the best experts on this subject based on the ideXlab platform.
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single incision laparoscopic gastropexy for mesentero axial Gastric Volvulus
Surgical Case Reports, 2019Co-Authors: Toshiaki Takahashi, Masaya Yamoto, Akiyoshi Nomura, Kei Ooyama, Akinori Sekioka, Yutaka Yamada, Koji Fukumoto, Naoto UrushiharaAbstract:Background Mesentero-axial Gastric Volvulus (MAGV) is a rare but critical condition as delay in treatment can lead to lethal situations. Although the report of the surgical treatment with laparoscopic approach for MAGV has recently come to be seen, no standard procedures have been established. We aim to describe our operative technique of single-incision laparoscopic gastropexy (SILG) for MAGV and review the relevant literature to ascertain the most appropriate treatment option in these patients.
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Single-incision laparoscopic gastropexy for mesentero-axial Gastric Volvulus
SpringerOpen, 2019Co-Authors: Toshiaki Takahashi, Masaya Yamoto, Akiyoshi Nomura, Kei Ooyama, Akinori Sekioka, Yutaka Yamada, Koji Fukumoto, Naoto UrushiharaAbstract:Abstract Background Mesentero-axial Gastric Volvulus (MAGV) is a rare but critical condition as delay in treatment can lead to lethal situations. Although the report of the surgical treatment with laparoscopic approach for MAGV has recently come to be seen, no standard procedures have been established. We aim to describe our operative technique of single-incision laparoscopic gastropexy (SILG) for MAGV and review the relevant literature to ascertain the most appropriate treatment option in these patients. Case presentation Three patients were referred to our hospital because abdominal pain and vomiting suddenly occurred. Acute MAGV was diagnosed by upper gastrointestinal study. After overnight Gastric decompression with a nasal tube, the GV was resolved spontaneously. Elective SILG was planned. Single incision at the umbilicus was made and three 5-mm trocars were inserted. The anterior wall of the body of the stomach was sutured to the peritoneum using 6 × 4-0 non-absorbable sutures for prevention of recurrence of GV and occurrence of internal hernia through the space created between the sutures. Two boys and a girl with mean age 4 ± 2 years underwent SILG. The mean time of the operation was 48 ± 23 min. All of the procedures were completed safely, and there were no postoperative complications. The mean time of postoperative hospitalization was 4 ± 1 days. All patients had good cosmetic and clinical results. Conclusion We found SILG is a safe, technically feasible, and minimally invasive approach with low incidence of postoperative complication and the best cosmetic result for the patients with MAGV
Toshiaki Takahashi - One of the best experts on this subject based on the ideXlab platform.
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single incision laparoscopic gastropexy for mesentero axial Gastric Volvulus
Surgical Case Reports, 2019Co-Authors: Toshiaki Takahashi, Masaya Yamoto, Akiyoshi Nomura, Kei Ooyama, Akinori Sekioka, Yutaka Yamada, Koji Fukumoto, Naoto UrushiharaAbstract:Background Mesentero-axial Gastric Volvulus (MAGV) is a rare but critical condition as delay in treatment can lead to lethal situations. Although the report of the surgical treatment with laparoscopic approach for MAGV has recently come to be seen, no standard procedures have been established. We aim to describe our operative technique of single-incision laparoscopic gastropexy (SILG) for MAGV and review the relevant literature to ascertain the most appropriate treatment option in these patients.
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Single-incision laparoscopic gastropexy for mesentero-axial Gastric Volvulus
SpringerOpen, 2019Co-Authors: Toshiaki Takahashi, Masaya Yamoto, Akiyoshi Nomura, Kei Ooyama, Akinori Sekioka, Yutaka Yamada, Koji Fukumoto, Naoto UrushiharaAbstract:Abstract Background Mesentero-axial Gastric Volvulus (MAGV) is a rare but critical condition as delay in treatment can lead to lethal situations. Although the report of the surgical treatment with laparoscopic approach for MAGV has recently come to be seen, no standard procedures have been established. We aim to describe our operative technique of single-incision laparoscopic gastropexy (SILG) for MAGV and review the relevant literature to ascertain the most appropriate treatment option in these patients. Case presentation Three patients were referred to our hospital because abdominal pain and vomiting suddenly occurred. Acute MAGV was diagnosed by upper gastrointestinal study. After overnight Gastric decompression with a nasal tube, the GV was resolved spontaneously. Elective SILG was planned. Single incision at the umbilicus was made and three 5-mm trocars were inserted. The anterior wall of the body of the stomach was sutured to the peritoneum using 6 × 4-0 non-absorbable sutures for prevention of recurrence of GV and occurrence of internal hernia through the space created between the sutures. Two boys and a girl with mean age 4 ± 2 years underwent SILG. The mean time of the operation was 48 ± 23 min. All of the procedures were completed safely, and there were no postoperative complications. The mean time of postoperative hospitalization was 4 ± 1 days. All patients had good cosmetic and clinical results. Conclusion We found SILG is a safe, technically feasible, and minimally invasive approach with low incidence of postoperative complication and the best cosmetic result for the patients with MAGV
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Laparoscopic splenopexy and gastropexy for wandering spleen associated with Gastric Volvulus
Pediatric surgery international, 2010Co-Authors: Tadaharu Okazaki, Rumi Ohata, Go Miyano, Geoffrey J. Lane, Toshiaki Takahashi, Atsuyuki YamatakaAbstract:Wandering spleen is not a common condition in childhood and has been described only rarely in association with Gastric Volvulus. The authors report the successful management of wandering spleen associated with Gastric Volvulus using laparoscopic splenopexy and gastropexy in a 4-year-old girl.
Priya Hira - One of the best experts on this subject based on the ideXlab platform.
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wandering spleen with torsion causing pancreatic Volvulus and associated intrathoracic Gastric Volvulus an unusual triad and cause of acute abdominal pain
Journal of the Pancreas, 2015Co-Authors: Yashant Aswani, Karan Manoj Anandpara, Priya HiraAbstract:Context Wandering spleen is a rare medical entity in which the spleen is orphaned of its usual peritoneal attachments and thus assumes an ever wandering and hypermobile state. This laxity of attachments may even cause torsion of the splenic pedicle. Both Gastric Volvulus and wandering spleen share a common embryology owing to maldevelopment of the dorsal mesentery. Gastric Volvulus complicating a wandering spleen is, however, an extremely unusual association, with a few cases described in literature. Case report We present a case of a young female who presented with acute abdominal pain and vomiting. Radiological imaging revealed a intrathoracic Gastric Volvulus, torsion in an ectopic spleen, and additionally demonstrated a pancreatic Volvulus - an unusual triad, reported only once, causing an acute abdomen. Conclusion The patient subsequently underwent an emergency surgical laparotomy with splenopexy and gastropexy. Image: Grossly distended stomach with Ryle’s tube in situ.
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Wandering Spleen with Torsion Causing Pancreatic Volvulus and Associated Intrathoracic Gastric Volvulus. An Unusual Triad and Cause of Acute Abdominal Pain
E S Burioni Ricerche Bibliografiche, 2015Co-Authors: Yashant Aswani, Karan Manoj Anandpara, Priya HiraAbstract:Context Wandering spleen is a rare medical entity in which the spleen is orphaned of its usual peritoneal attachments and thus assumes an ever wandering and hypermobile state. This laxity of attachments may even cause torsion of the splenic pedicle. Both Gastric Volvulus and wandering spleen share a common embryology owing to mal development of the dorsal mesentery. Gastric Volvulus complicating a wandering spleen is, however, an extremely unusual association, with a few cases described in literature. Case Report We report a case of a young female who presented with acute abdominal pain and vomiting. Radiological imaging revealed an intrathoracic Gastric Volvulus, torsion in an ectopic spleen, and additionally demonstrated a pancreatic Volvulus - an unusual triad, reported only once, causing an acute abdomen. The patient subsequently underwent an emergency surgical laparotomy with splenopexy and gastropexy. Conclusion Imaging is a must for definitive diagnosis of wandering spleen and the associated pathologic conditions. Besides, a prompt surgical management circumvents inadvertent outcomes
M Griffin - One of the best experts on this subject based on the ideXlab platform.
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the threatened stomach management of the acute Gastric Volvulus
Surgical Endoscopy and Other Interventional Techniques, 2016Co-Authors: D Light, D Links, M GriffinAbstract:Introduction Acute presentation of Gastric Volvulus is a rare condition with a high mortality for acute ischaemia. This study was undertaken to investigate the acute management, diagnosis, and long-term outcomes of patients presenting with acute Gastric Volvulus.
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the threatened stomach management of the acute Gastric Volvulus
Surgical Endoscopy and Other Interventional Techniques, 2016Co-Authors: D Light, D Links, M GriffinAbstract:Acute presentation of Gastric Volvulus is a rare condition with a high mortality for acute ischaemia. This study was undertaken to investigate the acute management, diagnosis, and long-term outcomes of patients presenting with acute Gastric Volvulus. Cases were reviewed retrospectively from 2004 to 2014. Patients presenting as an emergency admission with acute Gastric Volvulus were included. Thirty-six patients were included, five of whom had previous surgery. The mean age was 71 years old. All patients presented with vomiting and chest/epiGastric pain. CT was diagnostic in all 26 patients. Barium swallow was diagnostic in two/four patients. OGD was diagnostic in 9 of 20 patients. All patients had an NG tube placed, and eight patients were treated conservatively and made a full recovery. Twenty-nine patients proceeded to surgery. Nine had a laparoscopic repair with two open conversions. Four patients had Gastric necrosis, and all had open surgery with resection. Three patients had a mediastinal perforation, and one patient required an additional thoracotomy. All patients with viable stomach had a hiatal repair (where appropriate), 11 had a gastropexy, and 11 had a fundoplication. Mortality for Gastric necrosis/perforation was 30 %. Mean postoperative stay was 4 days for laparoscopic repair and 8 days for uncomplicated open surgery. Nine of twenty-nine had transient dysphagia postoperatively. Three of eight patients treated conservatively had an elective procedure subsequently. Acute paraoesophageal hiatus hernia requires early resuscitation and diagnosis. CT should be favoured in assessment, and an NG tube placed promptly. A conservative management may be considered safely in stable patients. Surgical management should be prompt for unstable patients. Gastric ischaemia or perforation has a mortality of 30 %. Laparoscopic repair has a shorter postoperative stay, but has a higher recurrence rate. Surgery for patients without Gastric ischaemia has good long-term outcomes with minimal morbidity.
Yashant Aswani - One of the best experts on this subject based on the ideXlab platform.
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wandering spleen with torsion causing pancreatic Volvulus and associated intrathoracic Gastric Volvulus an unusual triad and cause of acute abdominal pain
Journal of the Pancreas, 2015Co-Authors: Yashant Aswani, Karan Manoj Anandpara, Priya HiraAbstract:Context Wandering spleen is a rare medical entity in which the spleen is orphaned of its usual peritoneal attachments and thus assumes an ever wandering and hypermobile state. This laxity of attachments may even cause torsion of the splenic pedicle. Both Gastric Volvulus and wandering spleen share a common embryology owing to maldevelopment of the dorsal mesentery. Gastric Volvulus complicating a wandering spleen is, however, an extremely unusual association, with a few cases described in literature. Case report We present a case of a young female who presented with acute abdominal pain and vomiting. Radiological imaging revealed a intrathoracic Gastric Volvulus, torsion in an ectopic spleen, and additionally demonstrated a pancreatic Volvulus - an unusual triad, reported only once, causing an acute abdomen. Conclusion The patient subsequently underwent an emergency surgical laparotomy with splenopexy and gastropexy. Image: Grossly distended stomach with Ryle’s tube in situ.
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Wandering Spleen with Torsion Causing Pancreatic Volvulus and Associated Intrathoracic Gastric Volvulus. An Unusual Triad and Cause of Acute Abdominal Pain
E S Burioni Ricerche Bibliografiche, 2015Co-Authors: Yashant Aswani, Karan Manoj Anandpara, Priya HiraAbstract:Context Wandering spleen is a rare medical entity in which the spleen is orphaned of its usual peritoneal attachments and thus assumes an ever wandering and hypermobile state. This laxity of attachments may even cause torsion of the splenic pedicle. Both Gastric Volvulus and wandering spleen share a common embryology owing to mal development of the dorsal mesentery. Gastric Volvulus complicating a wandering spleen is, however, an extremely unusual association, with a few cases described in literature. Case Report We report a case of a young female who presented with acute abdominal pain and vomiting. Radiological imaging revealed an intrathoracic Gastric Volvulus, torsion in an ectopic spleen, and additionally demonstrated a pancreatic Volvulus - an unusual triad, reported only once, causing an acute abdomen. The patient subsequently underwent an emergency surgical laparotomy with splenopexy and gastropexy. Conclusion Imaging is a must for definitive diagnosis of wandering spleen and the associated pathologic conditions. Besides, a prompt surgical management circumvents inadvertent outcomes
