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Gastropexy

Surgical fixation of the stomach to the abdominal wall or diaphragm.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Gastropexy?

Gastropexy is a surgical procedure that fixes the stomach to the abdominal wall, diaphragm or surrounding structures because of abnormal stomach position, gastric volvulus or large hiatal hernias. The aim is to prevent stomach displacement or rotation.

Several techniques exist: anterior gastropexy (anterior wall of the stomach is fixed to the anterior abdominal wall), posterior gastropexy and tube gastropexy (in conjunction with percutaneous endoscopic gastrostomy, PEG). It can also be performed minimally invasively via laparoscopic approach.

Gastropexy is generally used as a definitive treatment or as an additional procedure in repair of large hiatal hernias. In acute treatment of gastric volvulus, it is preferred for fixation after reduction in non-necrotic situations. Short procedure time provides advantages for elderly and high-risk patients.

Symptoms

Acute or chronic gastric volvulus
Large type III or type IV paraesophageal hiatal hernia
Postprandial vomiting, bloating, dysphagia
Retrosternal pressure and pain
Respiratory distress (diaphragmatic elevation)
Weight loss and feeding difficulty
Recurrent aspiration pneumonia

Risk Factors

Advanced age and weak gastric ligaments
Diaphragm weakness and paraesophageal hernia
Previous upper GI surgery
Chronic increased intra-abdominal pressure
Congenital diaphragm anomalies
Gastric ligament laxity (gastrohepatic ligament)
Elderly patient with high surgical risk

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Acute gastric volvulus signs (Borchardt triad)
  • Chronic bloating, postprandial pain and vomiting
  • Progressive symptoms in paraesophageal hernia
  • Recurrent aspiration pneumonia in the elderly
  • Gastric air seen in the chest on chest X-ray
  • Emergency surgical planning

Treatment Methods

01
Laparoscopic gastric reduction and crural repair
02
Anterior gastropexy (suturing anterior gastric wall to anterior abdominal wall)
03
Tube gastropexy (with PEG)
04
Mesh repair plus gastropexy in large hiatal hernias
05
Gastrectomy and anastomosis in necrotic segments
06
Postoperative bland diet, reduction of intra-abdominal pressure
07
Follow-up imaging to verify gastric position

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.