Laparoscopic management of totally intra-thoracic stomach with chronic volvulus

Table 1 Patients demographics and perioperative findings

Age, yr (range)	66.7 ± 4.7 (61-76)
Gender
Male	4 (28.6)
Female	10 (71.4)
BMI (kg/m2)	28.7 ± 7.6
Symptoms
Early satiety	14 (100)
Postprandial discomfort	14 (100)
Shortness of breath	2 (14.2)
Heartburn	2 (14.2)
Duration of operation (min)	234.9 ± 59.2
Day of discharge (d)	2.6 ± 1.4
Minor complication	4 (28.6)
Recurrence	1 (7.1)
Mean follow-up (mo)	29.4 ± 19

Data are expressed as absolute numbers (percentage) or mean ± SD. BMI: Body mass index.

Table 2 Laparoscopic repair of intra-thoracic gastric volvulus: Literature review

Ref.	n	Presentation	Follow-up	Mesh	Fundoplication procedure	Outcome
Inaba et al[15]	1	Upper abdominal pain	4 yr	PTFE	Toupet	Cure
Gökcel et al[16]	7	-	5 mo	PTFE	Anterior semi fundoplication	One recurrence without volvulus
Salameh et al[17]	1	Chest discomfort, inability to belch	1 yr	None	Nissen	Cure
Malik et al[18]	2	Epigastric pain, vomiting, bloating	1 yr	None	Nissen	Cure (PEG tube was placed in one patient and removed after 6 mo)
Rathore et al[19]	1	Chest pain, shortness of breath	1 yr	None	None	Cure
Golash[20]	1	Epigastric pain, inability to eat	6 mo	Polypropylene	Nissen+ anterior gastropexy	Cure
Iannelli et al[21]	1	Epigastric pain, vomiting	18 mo	-	Nissen	Cure
Krahanbuhl et al[22]	3	Epigastric pain, vomiting	21 mo	None	Nissen + anterior gastropexy	One recurrence with volvulus
Katkhoudan et al[23]	8	Epigastric pain, early satiety	16 mo	None	Nissen	One recurrence without volvulus

PEG: Percutaneous endoscopic gastrostomy.