Changing patterns in the management of gastric volvulus over 14 years

Teague, Warwick J.; Ackroyd, Roger; Watson, David I.; Devitt, Peter G.

doi:10.1046/j.1365-2168.2000.01385.x

Cited by 124 publications

(128 citation statements)

References 11 publications

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“…Although elongation of these structures may occur with the stomach in its normal subdiaphragmatic position, it is more commonly found that elongation of these structures -and subsequent gastric volvulus -occurs with a paraesophageal (PEH) or diaphragmatic (traumatic, Morgagni, Bochdalek) hernia. [1][2][3][4] Some patients present with an incidental finding of gastric volvulus on a radiographic study obtained for another purpose. In these patients, the gastric volvulus is frequently incomplete (<180 degrees) and therefore may not result in symptoms that the patient voluntarily reports.…”

Section: Introductionmentioning

confidence: 99%

“…Options for management include endoscopic, laparoscopic, combined laparoendoscopic techniques, and open procedures. 3,4,[6][7][8] Manual reduction of the volvulus to relieve gastric obstruction is straightforward; however, without fixation of the stomach in its normal unobstructed orientation, recurrence of volvulus is almost guaranteed. There are two main options for prevention of recurrent volvulus: gastropexy and PEH repair.…”

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confidence: 99%

“…Patients with mild obstructive symptoms may be managed electively, while patients suffering from complete gastric obstruction will require inpatient admission and urgent management. [3][4][5] Although the stomach has a robust vascular supply, severe acute volvulus can result in gastric ischemia. Gastric strangulation is more common with severe gastric torsion (>180 degrees) and organoaxial volvulus orientation, and delay in the definitive treatment for gastric ischemia significantly increases patient mortality.…”

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confidence: 99%

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Managing obstructive gastric volvulus: challenges and solutions

Rodriguez-Garcia¹,

Wright²,

Yates³

2017

OAS

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Gastric volvulus is the abnormal torsion of the stomach along its short or long axis. Most patients who experience gastric volvulus present with mild or intermittent gastric obstructive symptoms. However, severe acute gastric volvulus can result in complete gastric outlet obstruction and ischemia. Consequently, acute gastric volvulus warrants immediate evaluation and management. The goals of management are to relieve the obstruction and prevent recurrent volvulus. Techniques to manage gastric volvulus depend on patient characteristics and the presence of gastric ischemia. In the absence of gastric ischemia, gastric volvulus can be managed with anterior abdominal wall gastropexy or paraesophageal hernia repair. If gastric ischemia is present, operative resection of the affected portion of the stomach is indicated. When operative management is indicated, many patients with gastric volvulus can be managed with minimally invasive (laparoscopic, endoscopic, or laparoendoscopic) techniques.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

mentioning

confidence: 99%

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Managing obstructive gastric volvulus: challenges and solutions

Rodriguez-Garcia¹,

Wright²,

Yates³

2017

OAS

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“…More recently endoscopic and laparoscopic approaches to both acute and chronic gastric volvulus have been popularized [3]. In contrast, laparoscopic approaches and combined laparoscopic and endoscopic approaches have the potential to combine minimally invasive techniques with repair of the diaphragmatic defect [4,5].…”

mentioning

confidence: 99%

“…Strangulation leads to gastric necrosis with and without perforation and requires resection by local excision, subtotal gastrectomy or even total gastrectomy [3].…”

mentioning

confidence: 99%

Gangrenous Stomach in Mesentroaxial Volvulus

2010

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Volvulus refers to a greater than 180°twisting of a hollow organ about its mesentery and results in luminal obstruction impaired venous return and eventually ischemia though much less common than volvulus of caecum and sigmoid colon ischemia. Gastric volvulus are clinical problems, when not recognized promptly, can lead to necrosis of the involved organ with resultant high morbidity and mortality.

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Mesh in the Hiatus

Targarona¹

2004

Arch Surg

109

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To analyze the experience acquired to date on the use of prosthetic mesh to prevent recurrence after laparoscopic repair of paraesophageal hernia. Data Sources: Current English-language literature review. Study Selection: Case reports, series, and opinion articles on the use of mesh for paraesophageal hernia repair. Data Extraction and Synthesis: Study type and results were analyzed. Most articles were short case series. Few comparative or randomized trials assessing the procedure have been published to date. The information available showed that the use of a mesh for hiatal repair was safe and prevented recurrence. However, data on the longterm results were lacking, and infrequent but severe complications may arise. Conclusions: The mesh should be used selectively, and the decision to proceed should be based on clinical experience. In light of the evidence available, however, it appears to be safe, and the fears expressed in the past have not been confirmed.

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Changing patterns in the management of gastric volvulus over 14 years

Cited by 124 publications

References 11 publications

Managing obstructive gastric volvulus: challenges and solutions

Managing obstructive gastric volvulus: challenges and solutions

Gangrenous Stomach in Mesentroaxial Volvulus

Mesh in the Hiatus

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