LAPAROSCOPIC GASTROPEXY FOR CHRONIC GASTRIC VOLVULUS

Gastric volvulus is an infrequently encountered clinical entity charac terized by abnormal rotation of the stomach around an axis made by its two fixed portions, the cardia and pylorus. Surgical treatment by ant erior gastropexy is usually indicated for chronic gastric volvulus to prevent complications and treat the underlying pathology. We report a patient with chronic gastric volvulus who was treated with laparoscopi c anterior and diaphragmatic gastropexy. Laparoscopy not only identifi es underlying predisposing conditions but also allows effective fixati on for gastric volvulus. Laparoscopic approach minimizes the access tr auma and is superior for benign upper gastrointestinal lesions.