Document Detail

Acute and chronic gastric volvulus: radical different prognosis and management. Case report.
MedLine Citation:
PMID:  20306915     Owner:  NLM     Status:  MEDLINE    
Gastric volvulus is an uncommon entity. Management is principally surgical. Diagnosis is often delayed because of the non-specific nature of the symptoms. The authors report two cases of gastric volvulus seen in a six month period. The first is an acute presentation diagnosed by computed tomography with incarceration and necrosis of the stomach, the transverse colon and great omentum. The issue was immediate laparotomy for total gastrectomy, colectomy, terminal colostomy and omentectomy. The patient survived, and the colostomy was closed and continuity restored three months later. The second one is a chronic form diagnosed by gastroscopy and barium swallow radiography. The treatment was elective with closure of the hiatus, Nissen procedure and gastropexy. The pathophysiology, classification and treatment of those two kinds of volvulus are briefly reviewed.
S Laurent; D Grayet; Ch M Lavigne
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  110     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-03-23     Completed Date:  2010-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  76-9     Citation Subset:  IM    
Department of Abdominal Surgery ,CHPLT Verviers, Verviers, Belgium.
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MeSH Terms
Acute Disease
Chronic Disease
Colectomy / methods*
Colostomy / methods
Delayed Diagnosis
Follow-Up Studies
Gastrectomy / methods*
Middle Aged
Stomach Volvulus / diagnosis*,  surgery
Time Factors
Tomography, X-Ray Computed

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