Background
We report 4 adult cases of mesenteroaxial gastric volvulus after living donor liver
transplantation (LDLT).
Results
All 4 recipients were female with a median age of 31 years (range, 21–69). All had
undergone right lobe LDLT. Gastric volvulus developed on postoperative days (POD)
4–30, and all were successfully treated with an endoscopic correction procedure. Two
of 4 needed a repeated correction procedure and 1 needed a surgical revision for the
recurrent volvulus.
Conclusion
Although this type of the complication is unusual, earlier post-transplant endoscopic
intervention is useful to reverse the pyloroantral obstruction. These cases let us
recognize that gastric volvulus is one of the complications after right lobe LDLT.
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Article info
Publication history
Published online: September 23, 2009
Accepted:
July 7,
2009
Identification
Copyright
© 2010 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
