Given the poor condition of the patient, and the absence of ischemia and gastric necrosis, it was decided to perform an endoscopic devolvulation using the technique described in 1995 by Tsang and colleagues Figure 3.This technique has 6 steps. The initial aim is to create an alpha shaped loop Figure 4 in the proximal end of the volvulated stomach. Next, the tip of the endoscope is advanced through the location of the stenosis produced by the volvulus.
Dada las malas condiciones de la paciente y la ausencia de isquemia o necrosis gástrica se decide realizar una devolvulación endoscópica, por la técnica descrita en 1995 por Tsang y col figura 3: esta técnica comprende 6 pasos que buscan inicialmente formar una asa en alfa figura 4 en el extremo proximal del estómago volvulado, luego se avanza la punta del endoscopio por el sitio de la estenosis que produce el vólvulo.