Gastric volvulus

Abstract

Gastric volvulus is torsion of the stomach, which can compromise the gastric orifices and result in either acute or chronic and intermittent symptoms. We believe that gastric volvulus, especially when partial or intermittent, may be more common than has been previously thought. The condition should be suspected in any patient who has a history of retching or vomiting and has a paraesophageal hiatus hernia or eventration of the diaphragm. The classic triad of retching, severe and constant epigastric pain, and difficulty in passing a nasogastric tube should suggest the presence of acute gastric volvulus. The diagnosis is confirmed by specific findings on the upper gastrointestinal series. Acute gastric volvulus is a surgical emergency. Definitive treatment of recurrent chronic gastric volvulus is usually surgical, although conservative measures may have limited success.

A life threatening complication of anti reflux surgery: acute gastric volvulus

“…Treatment steps of gastric volvulus include correction of volvulus and prevention of recurrence. Llaneza et al [8] described that detorsion could be achieved by nasogastric decompression in volvulus cases. However, nasogastric decompression is useful in relieving acute clinical picture rather than a definitive treatment option.…”

A case report on gastric volvulus of a 17 years old boy from Bangladesh

“…The gold standard method in detecting gastric volvulus is a barium swallow, which has a very high sensitivity and specificity. On an upper GI series, the GE junction is usually below the diaphragm, the distal portion of the stomach appears cephalad, and a “beak” may appear where the GE junction is normally located [16] . Additionally, highly suggestive of gastric volvulus is the difficulty during endoscopy to intubate the stomach or the pylorus ( Fig.…”

Gastric mesenteroaxial volvulus with partial eventration of left hemidiaphragm: A rare case report

“…The third and rarest form of gastric volvulus is when the stomach rotates about both the organo-axial and mesenteroaxial axes resulting in a combined volvulus [5] . The classic triad of retching, severe and constant epigastric pain, and difficulty in passing a nasogastric tube should suggest the presence of acute gastric volvulus [6] . Few case reports have shown that delayed onset of secondary gastric volvulus associated with congenital diaphragmatic eventration is also possible [7] .…”