Hour-Glass Stomach: A Case Report of A Rare Disease with a Small Review of the Literature

Abstract

Hour-glass stomach, a rare anatomical variant characterized by a narrowed gastricsegment, presents with significant clinical challenges, including postprandial pain,nausea, vomiting, and malnutrition. This report details two cases of hour-glass stomachand their surgical management. The first case involved a 58-year-old female presentingwith persistent esophageal reflux and dyspepsia, initially treated with laparoscopicsleeve gastrectomy, subsequently revised to a Roux-en-Y gastrojejunostomy due todelayed gastric emptying. The second case was a 28-year-old male who presentedwith a hiatal hernia, abdominal pain, and vomiting, and who underwent a combinedlaparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass in a single procedure.Both patients were diagnosed using radiographic imaging with water-soluble contrast.The surgical approach, combining sleeve gastrectomy to address the anatomicalnarrowing and Roux-en-Y bypass to improve gastric emptying, resulted in symptomresolution and no recurrence at 2-month follow-up. This case series highlights theefficacy of this surgical strategy in managing hour-glass stomach and emphasizes theimportance of radiographic imaging for diagnosis and postoperative assessment.Further studies with larger patient cohorts are needed to establish standardizedtreatment protocols and long-term outcomes.