Laparoscopic gastropexy in neonatal gastric volvulus

Abstract

Introduction: Gastric volvulus is a rare condition in pediatric age. Acute and recurrent chronic cases are described but the real incidence is unknown. We present the surgical description of a case of a chronic recurrent gastric volvulus, diagnosed in the neonatal period and treated with success by laparoscopy.

Clinical case: Newborn, male, diagnosed with Ebstein anomaly, admitted in the hospital with recurrent non-bilious vomiting, dehydration and loss of weight. The upper gastrointestinal study showed an organoaxial volvulus of the stomach. He was submitted to laparoscopic gastropexy.

Discussion: According to most of the authors the surgical correction of the gastric volvulus is mandatory to prevent recurrences and complications. Laparoscopic gastropexy is a minimally invasive, simple and safe technique.

Keywords: gastric volvulus, laparoscopic gastropexy