title: Small bowel volvulus resulting in infarction due to an anterior gastropexy band.
abstract: Volvulus of the small bowel, although rare, carries a high risk of strangulation and ischemic necrosis. It is usually caused by the rotation of a loop of small intestine around an adhesion band or stoma. We present a case of an anterior gastropexy band, giving rise to a small bowel volvulus, necessitating resection due to infarction. This band resulted from separation of the most distal anterior gastropexy suture from the anterior abdominal wall. The distensible nature of the stomach and its resultant postprandial gain in weight produced tremendous shearing forces on the gastropexy sutures, and, as our case demonstrates, a greater number of gastropexy sutures does not protect against this complication.
authors: Department of Surgery, Luton and Dunstable Hospital, UK. zulfiqarajkhan@hotmail.com
authors: Zulfiqar Ali Jehangir
authors: ZA
authors: Khan
authors: Elisabeth
authors: E
authors: Drye
authors: Sandhu
authors: S
authors: Pardeep
authors: John Richard
authors: JR
authors: Novell
mesh_terms: D000208:Acute Disease; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007082:Ileum / Q000098:blood supply*; D007238:Infarction / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013270:Stomach / Q000601:surgery*; D013277:Stomach Volvulus / Q000601:surgery; D013537:Sutures / Q000009:adverse effects