[Laparoscopic surgery of a thoracic stomach]

We report the case of a 54-year-old patient with up-side-down-stomach with recurrent gastric bleeding. Reposition of the stomach, closure of the diaphragmatic opening with interrupted silk sutures, fundophrenicopexy and corpopexy to the anterior abdominal wall was done laparoscopically. Because the patient presented no reflux symptoms, but hypomotility of the oesophagus, no fundoplication was done. To prevent recurrence of the hernia a polypropylene mesh was fixed over the hiatus.