Gastric volvulus as a complication in the recipients after adult living donor liver transplantation.
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.


CONCLUSIONS
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.
Shirouzu
Yasumasa
Y
Department of Transplantation and Pediatric Surgery, Postgraduate School of Medical Science, Kumamoto University, Kumamoto, Japan. shirouzu@fc.kuh.kumamoto-u.ac.jp
Sakurai
Koichi
K
Asonuma
Katsuhiro
K
Inomata
Yukihiro
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects; D005260:Female; D006498:Hepatectomy; D006801:Humans; D007165:Immunosuppression Therapy / Q000379:methods; D008099:Liver / Q000033:anatomy & histology; D016031:Liver Transplantation / Q000009:adverse effects* / Q000276:immunology / Q000379:methods; D019520:Living Donors; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D013277:Stomach Volvulus / Q000209:etiology* / Q000601:surgery; D055815:Young Adult