# A case of recurrent gastric volvulus successfully treated with nasogastric tube‐assisted endoscopic reduction and percutaneous endoscopy‐assisted gastropexy

## TL;DR

An elderly patient with recurring stomach twisting was successfully treated using a combination of endoscopic and minimally invasive techniques.

## Contribution

A combined approach using nasogastric tube assistance and percutaneous gastropexy is proposed for treating gastric volvulus in frail elderly patients.

## Key findings

- Nasogastric tube assistance improved the efficiency of endoscopic reduction.
- Percutaneous endoscopy-assisted gastropexy effectively prevented recurrence in a high-risk patient.
- The combined method is suitable for elderly patients with significant health issues.

## Abstract

We report the case of a 97‐year‐old male with recurrent gastric volvulus who was successfully treated with nasogastric tube‐assisted endoscopic reduction followed by percutaneous endoscopy‐assisted gastropexy with gastric wall fixation. The nasogastric tube facilitates endoscopic reduction by enhancing the procedure's efficiency. In contrast, percutaneous endoscopy‐assisted gastropexy provides an effective, minimally invasive method to prevent the recurrence of gastric volvulus, even in patients with poor overall health. This case highlights the clinical utility of these combined approaches in managing gastric volvulus in elderly patients with significant comorbidities.