難治性・出血性潰瘍を併発した胃軸捻転症に対して内視鏡的整復・止血した1例

概要

論文の詳細を見る
An 85-year-old man presented with acute gastric dilation of upper abdominal pain associated with retching after took too much dinner. Abdominal CT scan showed an" up side down stomach" as a result of mesenteroaxial volvulus of the stomach. It was treated unsuccessfully with decompression of a nasogastric tube and then, we performed endoscopic reduction of volvulus using esophagogastroduodenoscopy (EGD) and also treated the oozing bleeding ulcer by hemoclips. After 11days on admission, he needed second clipping treatment because of bleeding. But, informed consent couldn't be obtained for operation. Then we transfused the 14units of blood transfusion, and administered intravenous hyperalimentation for 14days without diet. After 26days, EGD showed improvement in ischemic mucosal change at the level of healing stage. In this case, it was possible to see the patient of gastric volvulus with ischemic mucosal change without necrosis after both endoscopic reduction of volvulus and clipping for hemorrhagic ulcer.
Japan Gastroenterological Endoscopy Society Kanto Chapterの論文