Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
Case report
A case of an upside down stomach successfully treated by percutaneous endoscopic gastrostomy
Yasushi Nagaoka, Ryohei Watanabe, Yoichi Nakamura, Asako Takahashi, Sayaka Nagao, Kazuhiro Takabayashi, Emiko Takeshita, Toshiyuki Enomoto, Koji Asai, Yoshihisa Saida, Shinya Kusachi, Jiro Nagao
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Keywords: upside down stomach
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2015 Volume 86 Issue 1 Pages 132-133

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Abstract
We have reported a case who underwent stomach fixation by percutaneous endoscopic gastrostomy for upside down stomach. An 86-year-old woman was admitted to our hospital because of vomiting and loss of appetite. On upper gastrointestinal imaging the stomach had herniated into the mediastinum with mesenteroaxial torsion. Esophageal hiatal hernia with upside down stomach was diagnosed, and repositioning by endoscopy was performed. After the treatment the patient could eat, and discharged. However after a few days she admitted again because of recurrence. Because of the condition relapsed, we performed percutaneous endoscopic gastrostomy. The postoperative course was uneventful, and the patient discharged on postoperative day 10. Percutaneous endoscopic gastrostomy for upside down stomach is technically simple, safe, minimally invasive and curative treatment.
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© 2015 Japan Gastroenterological Endoscopy Society Kanto Chapter
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Progress of Digestive Endoscopy(1972)

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