Document Detail

Acute gastric volvulus: Late-onset ischemic consequences and their management.
MedLine Citation:
PMID:  22121314     Owner:  NLM     Status:  PubMed-not-MEDLINE    
We report three infants who presented with acute gastric volvulus and recovered initially after de-torsion, but later presented with sequelae due to ischemia of gastroesophageal junction, stomach and gastroduodenal junction. The first two infants could not be fed orally or by gastrostomy tube because of microgastria and stricture of the lower esophagus and gastroduodenal junction, and were managed on jejunostomy feeds, while the third child was managed on gastrostomy feeds till the gastric substitution surgery. The first case was treated nonsurgically with repeated dilatations, but ultimately succumbed to sepsis and malnutrition. In the second child, attempted dilatation resulted in esophageal perforation and she was reconstructed using ileocecal segment as a substitute for stomach and lower esophagus, and has done well. The third child was managed surgically by the Hunt Lawrence J pouch as stomach substitute and has also done well.
Kshama Vasudev Kulkarni; Sudipta Sen; Sampath Karl; V R Ravikumar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of Indian Association of Pediatric Surgeons     Volume:  16     ISSN:  1998-3891     ISO Abbreviation:  J Indian Assoc Pediatr Surg     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-11-28     Completed Date:  2012-10-02     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101179870     Medline TA:  J Indian Assoc Pediatr Surg     Country:  India    
Other Details:
Languages:  eng     Pagination:  148-51     Citation Subset:  -    
Department of Paediatric Surgery, Christian Medical College, Vellore, Tamilnadu, India.
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