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World J Gastroenterol. Sep 21, 2013; 19(35): 5848-5854
Published online Sep 21, 2013. doi: 10.3748/wjg.v19.i35.5848
Published online Sep 21, 2013. doi: 10.3748/wjg.v19.i35.5848
Laparoscopic management of totally intra-thoracic stomach with chronic volvulus
Toygar Toydemir, Mehmet Ali Yerdel, Department of General Surgery, Istanbul Surgery Hospital, 34365 İstanbul, Turkey
Gökhan Çipe, Oğuzhan Karatepe, Department of General Surgery, Medical School of Bezmialem Vakıf University, 34100 Istanbul, Turkey
Author contributions: Toydemir T drafted the manuscript; Çipe G, Toydemir T and Karatepe O gathered the data; Yerdel MA comprehensively reviewed and edited the manuscript.
Correspondence to: Toygar Toydemir, MD, Department of General Surgery, Istanbul Surgery Hospital, Ferah sk no: 22, Nişantaşı, 34365 İstanbul, Turkey. toygartoydemir@hotmail.com
Telephone: +90-505-3743368 Fax: +90-212-2969473
Received: April 17, 2013
Revised: July 26, 2013
Accepted: August 4, 2013
Published online: September 21, 2013
Processing time: 156 Days and 16 Hours
Revised: July 26, 2013
Accepted: August 4, 2013
Published online: September 21, 2013
Processing time: 156 Days and 16 Hours
Core Tip
Core tip: Migration of the whole stomach in to the chest cavity by rotating its longitudinal or transverse axis, namely “intra-thoracic gastric volvulus’’, is a very rare type of giant hiatal hernias and is associated with catastrophic complications. Laparoscopic repair of this rare condition is the most technically demanding procedure among the benign foregut surgeries. With careful attention the details, such as total excision of the hernia sac, provision of an adequate esophageal length with full mobilization of the esophagus, tensionless hiatoplasty, and a floppy fundoplication, long-term success is possible