Abstract
We report on a 6-year-old girl with acute gastric volvulus treated successfully with laparoscopic anterior gastropexy by the abdominal wall-lifting technique. The gastrocolic ligament was poorly developed, which allowed mesenterioaxial volvulus. Anterior gastropexy was easily accomplished by direct suturing with extracorporeal knotting under normal pressure. This procedure, which produces a working space sufficient for the gastropexy, is simple, safe, and cost beneficial because there is no requirement for pneumoperitoneum. This experience impressed on us that an intraoperative upper gastrointestinal series should be used to help the surgeon fix the stomach in its anatomically correct position.
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