“…Endoscopic derotation and gastric fixation may be pursued in patients with high surgical risk; however, this does not address the associated anatomic abnormalities and is not ideal for patients with a secondary volvulus [ 14 , 15 ]. Failure to promptly recognize a gastric volvulus can result in life-threatening complications, including gastric ischemia, necrosis, and perforation, requiring partial or total gastrectomy [ 16 ].…”