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Upper GI Surgery
Published in Tjun Tang, Elizabeth O'Riordan, Stewart Walsh, Cracking the Intercollegiate General Surgery FRCS Viva, 2020
Nicola C Tanner, Chris Collins
A CT thorax/abdomen is performed and confirms a gastric volvulus. What is a gastric volvulus and how can they be classified?19Gastric volvulus is a condition in which the stomach rotates >180 degreesThe rotation may be along the axis of the pylorus and the cardia (organo-axial rotation) or along the lesser-greater curve axis (mesenterico-axial rotation)Organo-axial volvulus is the most common type, accounting for 60% of cases.
Stomach and duodenum
Published in Michael Gaunt, Tjun Tang, Stewart Walsh, General Surgery Outpatient Decisions, 2018
Gastric volvulus can present in the outpatient with chronic symptoms of episodes of epigastric distress and vomiting; or acutely with severe epigastric pain, ineffectual retching with distension, tenderness and signs of shock.
Lesions of the stomach
Published in Brice Antao, S Irish Michael, Anthony Lander, S Rothenberg MD Steven, Succeeding in Paediatric Surgery Examinations, 2017
Victoria Lane, Brice Antao, Michael S Irish
Treatment of gastric volvulus consists of patient resuscitation, nasogastric decompression and surgical correction. The volvulus is first reduced and any diaphragmatic defects are repaired. The surgical options after reduction of volvulus include a tube/button gastrostomy or anterior gastropexy, which can be done via an open approach or laparoscopically.
A rare cause of severe epigastric pain, emesis and increased lipase
Published in Acta Chirurgica Belgica, 2018
Daan Van Olmen, Francis Somville, Gerry Van der Mieren
Gastric volvulus is defined as an abnormal rotation of the stomach around its axis for more than 180°. No exact incidence rates are found in literature, because its very rare presentation [3]. The majority of cases present in adults older than 50 years or children younger than one year, mostly based on congenital anatomical defects of the diaphragm [1,2].