The management of gastric volvulus in elderly patients

Zuiki, Toru; Hosoya, Yoshinori; Lefor, Alan Kawarai; Tanaka, Hiroyuki; Komatsubara, Toshihide; Miyahara, Yoshinori; Sanada, Yukihiro; Ohki, Jun; Sekiguchi, Chuji; Sata, Naohiro

doi:10.1016/j.ijscr.2016.10.058

Cited by 37 publications

(50 citation statements)

References 17 publications

(20 reference statements)

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“…Approximately 80% of GV cases occur in adults [5, 6, 8]. The exact incidence of GV is unknown and patients with a chronic presentation may never be diagnosed [7]. …”

Section: Discussionmentioning

confidence: 99%

“…CT scan provides more accurate diagnosis with specific details of the anatomical abnormalities [2, 7]. On endoscopy, distortion of gastric anatomy with difficulty intubating the stomach or the pylorus is highly suggestive.…”

Section: Discussionmentioning

confidence: 99%

“…As for treatment of chronic GV, while surgery is the preferred treatment for most authors, others claim that it can be managed conservatively with prokinetic agents and anti-secretory therapy. It is important for clinicians to take patients age, comorbidity, physical performance, life expectancy and willingness into consideration [7]. …”

Section: Discussionmentioning

confidence: 99%

“…It is critical to secure an early diagnosis in order to allow for prompt treatment. The optimal treatment strategy for patients with GV has not been established [7]. …”

Section: Introductionmentioning

confidence: 99%

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Primary gastric volvulus: a report of two cases

Costa¹,

Matos²,

Almeida³

et al. 2018

Journal of Surgical Case Reports

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Gastric volvulus is an uncommon cause of gastric obstruction. It can be classified as primary when no underlying condition is identified as the cause for the rotation. An acute presentation includes typical symptoms and is frequently detected by imaging studies. Chronic cases present with intermittent vague symptoms and imaging studies may be normal during the symptomatic interval. The lack of specific symptoms and signs delays the diagnosis of chronic volvulus. However, appropriate treatment demands prompt diagnosis. We report two cases of primary gastric volvulus, with chronic or subacute symptoms and normal imaging studies during the asymptomatic periods. Both were treated surgically and had an uneventful follow-up.

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“…Approximately 80% of GV cases occur in adults [5, 6, 8]. The exact incidence of GV is unknown and patients with a chronic presentation may never be diagnosed [7]. …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…It is critical to secure an early diagnosis in order to allow for prompt treatment. The optimal treatment strategy for patients with GV has not been established [7]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Primary gastric volvulus: a report of two cases

Costa¹,

Matos²,

Almeida³

et al. 2018

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

“…При своевременной диагностике хронического заворота желудка, возможно про-ведение консервативной терапии, которая имеет положительный эффект в 40% случаев [1,20,21]. Хирургическое лечение заключается в устранении диафрагмальной грыжи или другого предраспола-гающего фактора при вторичном типе заворота, гастропексии и фундопликации, и в настоящее время успешно выполняется путём лапароскопии [8,18,22,23].…”

Section: âведениеunclassified

Acute Gastric Volvulus With Perforation

Шидаков¹,

Калниязов²,

Караев³

2018

Kuban. nauсh. med. vestnik

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Республиканское государственное бюджетное лечебно-профилактическое учреждение «Карачаево-Черкесская республиканская клиническая больница», ул. Гвардейская, д.1, Черкесск, Россия, 369000. АННОТАЦИЯ ЦЕЛЬ. Демонстрация клинического случая острого заворота желудка и краткий литературный обзор данного забо-левания. Материалы и методы. Ребёнок 12 лет, обратившийся по поводу острых болей в животе, многократной рвоты, с типичными признаками непроходимости верхнего отдела желудочно-кишечного тракта. Результаты. После проведённого клинического и инструментального обследования, ребёнок был оперирован в экстренном порядке. При лапаротомии было установлено наличие у больного острого вторичного заворота желудка с некрозом и перфорацией, на фоне истинной левосторонней диафрагмальной грыжи, тяжёлое поражение подже-лудочной железы. После ушивания дефекта желудка, пластики диафрагмы, была выполнена тщательная санация и дренирование брюшной полости. Послеоперационный период протекал тяжело в связи с осложнениями основного заболевания. В результате проведённого лечения больной был выписан в удовлетворительном состоянии. Заключение. Клинический случай подтверждает тяжесть данной нозологии, сопровождающейся серьёзными по-следствиями. Хотя в нашем случае больной выздоровел, диагностические ошибки и развивающиеся осложнения при остром завороте желудка нередко ведут к летальному исходу.Ключевые слова: заворот желудка, кишечная непроходимость, некроз, перфорация, детская хирургия I. H. SHIDAKOV, B. M. KALNIYAZOV, A. A. KARAEV ACUTE GASTRIC VOLVULUS WITH PERFORATION Republican State Budgetary Medical and Preventive Institution "Karachay-Cherkess Republican ClinicalHospital", Gvardejskaja str., 1, Cherkessk, Russia, 369000.ABSTRACT Aim. To demonstrate a clinical case of acute gastric volvulus and to give a brief literary review of the disease. Materials and methods.A 12-year-old child who has applied for acute abdominal pain, repeated vomiting, with typical signs of obstruction of the upper gastrointestinal tract. Results. After the clinical and instrumental examination, the child was urgently operated. With laparotomy, the patient was diagnosed with acute secondary gastric volvulus with necrosis and perforation, against the background of a true left-sided diaphragmatic hernia, severe pancreatic lesions. The patient had a suturing of the stomach defect, diaphragm plastic, thorough sanitation and drainage of the abdominal cavity. The postoperative period was very difficult, due to complications of the underlying disease. As a result of the treatment, the patient was discharged in satisfactory condition. Conclusion.The clinical case confirms the severity of this nosology, accompanied by serious consequences. In our case, the patient recovered, but diagnostic errors and developing complications in acute gastric lavage often lead to death.

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Incarcerated Hernias and Abdominal Wall Reconstruction

Smith¹,

Miller²

2022

Surgical Critical Care and Emergency Surgery

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The management of gastric volvulus in elderly patients

Cited by 37 publications

References 17 publications

Primary gastric volvulus: a report of two cases

Primary gastric volvulus: a report of two cases

Acute Gastric Volvulus With Perforation

Incarcerated Hernias and Abdominal Wall Reconstruction

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