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Results for “STOMACH DILATATION”

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At least 487 records · Page 27Linked to original sources
PubMed1981

Standardized gastroplasty orifice.

Consistent weight reduction by gastroplasty requires precise construction of an appropriately sized stoma that will not dilate. The technique described constructs such a stoma around a 32 French Hurst dilator with an external ring of Silastic tubing over polypropylene suture.

Dilatation↗
PubMed1995

Esophageal resection for recurrent achalasia.

BACKGROUND: This study examined esophageal resection as treatment for recurrence or treatment complications of achalasia. METHODS: From 1976 through 1992, 37 patients (20 men and 17 women) underwent esophageal resection after initial surgical treatment for achalasia. The median age was 56 years (range, 19 to 84 years). Initial surgical treatment consisted of modified Heller myotomy in 28 patients, combined myotomy and antireflux procedure in 6, and antireflux procedure alone in 3. Twenty-six patients required an additional surgical procedure before esophageal resection (70.3%). Indication for esophageal resection was obstructive symptoms in 30 patients, cancer in 3, bleeding in 2, and perforation during dilation in 2. Reconstruction was established with the stomach in 26 patients, colon in 6, and small bowel in 5. Anastomosis was at the cervical level in 20 patients (54.1%) and intrathoracic in 17 (45.9%). RESULTS: There were two operative deaths (5.4%), both caused by intraoperative hemorrhage during transhiatal resection. Twelve patients (32.4%) had complications, which included cardiac dysrhythmia in 3, cervical anastomotic leak in 2, transient vocal cord paralysis in 2, pneumonia in 2, pulmonary embolus in 2, and reexploration for bleeding in 1. Follow-up was complete in all patients and ranged from 1.4 to 16 years (median, 6.3 years). Excellent or good long-term functional results were present in 32 patients (91.4%). CONCLUSIONS: Esophageal resection provides reasonable long-term functional results in patients with recurrence or treatment complications of achalasia. In our experience, transhiatal resection is associated with increased morbidity and mortality.

Adult↗
PubMed1997

Superior mesenteric artery syndrome presenting with acute massive gastric dilatation.

A 14-year-old girl presenting with acute massive gastric dilatation secondary to duodenal obstruction by the superior mesenteric artery is described. The diagnosis was facilitated by contrast-enhanced abdominal computerized tomography. She was successfully treated by gastrostomy and subsequent duodenal derotation. This unique presentation of the superior mesenteric artery syndrome is discussed.

Adolescent↗
PubMed1981

Idiopathic gastric volvulus in infancy and childhood.

Idiopathic gastric volvulus is not rare, especially in the neonate and in infancy. Between 1966 and 1980 we managed 44 cases of gastric volvulus. In 22 of the cases, initial examination was performed under 1 year of age. The main symptoms in this group were vomiting and abdominal distention, while those in the group over 2 years of age were abdominal distention, weight loss, nausea, appetite loss etc. The upper G.I. series were the most important in diagnosis. There was only one case of acute volvulus, which was treated operatively on an emergency basis. Chronic volvulus could be treated conservatively, except in 2 cases. This consisted in the positioning of the patient in the upright right recumbent position after feeding, for at least 1 hour. In the supine position, the gastric fundus is filled and dilated when the milk is poured into the stomach, the fundus is pulled postero-caudally and the antrum is pulled upwards, resulting in the combined type of organo-axial and mesenterico-axial volvulus. Over 2 years of age, 77% required operation. The fixation of the gastric fornix with the diaphragm was performed, using 5 or 6 stitches. The result was quite satisfactory. We recommend this procedure in this operation.

Acute Disease↗
PubMed1988

Pneumatosis masquerading as abdominal free air.

Pneumatosis cystoides intestinalis is an uncommon disease characterized by submucosal or subserosal collections of gas in the gastrointestinal tract and its peritoneal attachments. The literature suggests that the clinical course of this illness may be benign and self-limited. Clinical manifestations range from nonspecific gastrointestinal complaints to life-threatening complications of intestinal obstruction or pneumoperitoneum. Radiographic evidence of pneumoperitoneum in relatively asymptomatic patients suggests pneumatosis cystoides intestinalis. Correct radiographic diagnosis may avoid unnecessary surgery. In this unusual case, a patient with apparent subdiaphragmatic free air on radiograph was diagnosed as having pneumatosis cystoides intestinalis that involved the submucosa of the stomach and was related only to severe gastric dilatation. The case was managed expectantly, resulting in resolution of all radiographic findings and complete symptomatic recovery.

Aged↗
PubMed1992

Gastric dilatation and necrosis in bulimia: a case report.

Gastric dilatation and perforation is a rare complication in anorexia/bulimia sufferers. We describe a 24 year old female who presented with severe abdominal pain and vomiting, in whom radiographs demonstrated gross gastric dilatation and subsequent perforation. Although gastric perforation is rare, one can anticipate a rising incidence, with the apparent increase in the incidence of bulimia.

Acute Disease↗
PubMed1984

Radiographic response to cimetidine in patients with basal gastric acid hypersecretion.

Gastroduodenal rugal enlargement is associated with gastric acid hypersecretion. This study investigates the effects on the upper gastrointestinal (GI) examination of gastric acid suppression by cimetidine. Radiographs were evaluated for gastric and small-bowel fold size, small-bowel dilatation, and the presence of fluid in the stomach and small bowel. Six patients with basal gastric-acid hypersecretion (three with ordinary duodenal ulcer disease and three with Zollinger-Ellison syndrome) were studied. Results revealed that hypersecretors with ordinary duodenal ulcer disease could not be distinguished from those with Zollinger-Ellison syndrome by means of the upper GI study. The effects on the GI examination of the acid suppression by cimetidine were apparent in four of the six patients. Relations between observed radiographic effects and basal acid output and cimetidine dose were suggested only among the duodenal ulcer disease patients.

Adolescent↗
PubMed2002

Relationship between incidence of gastric dilatation-volvulus and biometeorologic events in a population of military working dogs.

OBJECTIVE: To calculate the monthly incidence of gastric dilatation-volvulus (GDV) in a population of military working dogs during a 5-year period and determine whether there was an association with synoptic climatologic indices. SAMPLE POPULATION: Medical records of all military working dogs housed at Lackland Air Force Base,Tex, from Jan 1, 1993 to Dec 31, 1997. PROCEDURE: Confirmed cases of GDV were identified from evaluation of medical records and used to calculate incidence of GDV. Factor analysis of local climatologic data was used to classify each day into 1 of 8 meteorologically homogeneous types of days for this location. Occurrence of GDV was compared with frequency of occurrence of synoptic climatologic days. RESULTS: 48 cases of GDV were identified from January 1993 through December 1997 Mean monthly incidence was 2.5 cases/1,000 dogs at risk (range, 0 to 18.5 cases/1,000 dogs; median, 2.5 cases/1,000 dogs). A seasonal increase in incidence of GDV was detected, because half of the episodes were during November, December, and January. An association with a specific synoptic climatologic day was not detected. CONCLUSIONS AND CLINICAL RELEVANCE: Seasonal fluctuations in incidence of GDV may be associated with external factors that precipitate physiologic changes resulting in GDV. Although a specific cause-effect relationship was not documented, clinicians must be alert for the potential of seasonal variation in incidence of GDV and accordingly heighten their index of suspicion for the condition, particularly in populations of dogs that are predisposed to development of GDV.

Animals↗
PubMedDate not supplied

Predisposition to gastric dilatation-volvulus in relation to genetics of thoracic conformation in Irish setters.

Thoracic depth/width ratios (TDWRs) were calculated from measurements of the parents (i.e., common dam and two sires) and puppies in two litters of Irish setters. The TDWRs of the parents, distribution of TDWRs in the litters, and comparisons with earlier population studies suggest that an incompletely dominant major gene and a background of minor genes and environmental factors are responsible for the TDWR. A history of gastric dilatation-volvulus (GDV) (i.e., bloat) was correlated with high TDWRs in this family as it was for Irish setters and certain other breeds studied earlier. It may be possible to reduce the incidence of GDV by selective breeding of dogs with lower TDWRs.

Animals↗
PubMedDate not supplied

Vagotomy and experimental duodenal ulcers.

Truncal vagotomy prevents secretagogue-induced duodenal ulcers in the rat. Without a drainage procedure it results in gastric stasis which predisposes to hypersecretory produced gastric ulcers.

Animals↗