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.

CONCLUSION

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.