Gastric Volvulus

Gastric volvulus is the condition where the stomach twists upon itself. This can be transient, but it can also lead to obstruction, ischemia, and necrosis. Primary gastric volvulus occurs below the diaphragm and is found in a third of cases. Secondary gastric volvulus occurs above the diaphragm and is associated with a defect in the diaphragm or a herniation of the stomach upwards towards the esophagus. One-fifth of cases are found in children (usually diagnosed before the age of 1 year) and are associated with a congenital diaphragmatic anomaly. Peak incidence is in the fifth decade of life.

Pain, violent retching, and inability to pass a nasogastric tube is very suggestive of acute gastric volvulus. Confirmation of the diagnosis is usually made with a plain abdominal radiograph. Treatment requires surgery. Mortality from acute gastric volvulus is around 15-20%, but in cases where blood supply to the stomach has been severely compromised, mortality rates can reach 40-60%.

Was this article helpful?

0 0
Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

Get My Free Ebook

Post a comment