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PubMed1995

[Chronic volvulus of the stomach].

Gastric volvulus is an abnormal rotation of the stomach. The incidence seems to be equal for men and women, and all ages are represented. Gastric volvulus may present as an emergency or as a chronic condition. Acute volvulus is potentially lethal if unrecognized, while a chronic volvulus may cause symptoms for years if not treated. Gastric volvulus may be more common than previously estimated. Approximately 700 cases have thus far been documented. Two case reports of chronic gastric volvulus are presented, of which one was treated by laparoscopic surgery.

Chronic Disease↗
PubMed1993

Volvulus of stomach in childhood.

Six children, aged upto one year, with volvulus of the stomach are reported. Vomiting and regurgitation of feeds were the main presenting symptoms. Eventration of the left hemidiaphragm was present in four cases. Barium meal confirmed the diagnosis. Five cases were operated on through an abdominal approach. Plication of the diaphragm (3 cases), colonic displacement (2) and gastrostomy (3) were resorted to. One child needed reoperation for a missed Ladd's band. There was no operative mortality.

Acute Disease↗
PubMed1990

Chronic organo axial volvulus of stomach.

A male patient was hospitalised for recurrent epigastric pain, abdominal fullness and vomiting. Peptic ulcer was suspected. Barium studies revealed the presence of chronic organo-axial volvulus of stomach. Anterior gastropexy associated with subdiaphragmatic displacement of transverse colon was done with satisfactory results.

Adult↗
PubMed1997

[Volvulus in childhood].

Gastric volvulus or volvulus of the small-bowel can occasionally be found in neonates and small infants. Since volvulus is an emergency case, the radiologist must know the characteristic radiological findings and the ultrasound signs in correlation to the clinical symptoms. Two forms of gastric volvulus can be distinguished: the organoaxial type and a mesenterioaxial form. Besides an idiopathic etiology, diaphragmatic alterations can be observed in children with volvulus of the stomach. Volvulus of the small-bowel occurs in children with malrotation type I or II or with nonrotation. Bile-stained vomiting starts within the first days of life and is followed by the clinical signs of high bowel obstruction and peritonitis. Primarily in cases of gastric volvulus, an ultrasound examination can show the wrong position of the stomach or the pyloric region. In cases of small-bowel volvulus, abnormal localization of the superior mesenteric artery can be demonstrated. The plain film features an upper small-bowel obstruction. Upper intestinal contrast studies may reveal the level of small-intestine obstruction. A contrast enema can rule out a concomitant colon nonrotation or malrotation. A rare form which can be misdiagnosed easily, is volvulus of the sigmoid with pathological elongation and positioning of the sigma. It appears mostly in school children with less urgent symptoms and can disappear spontaneously. A typical feature is pain in the left lower abdomen and complete obstruction in an opaque enema.

Abdomen, Acute↗
PubMed1997

Chronic volvulus of the stomach: to operate?

Chronic volvulus of the stomach is a relatively rare entity. We present a series of six cases diagnosed over the past 18 months. Three patients underwent surgical treatment by gastropexy alone or with gastrojejunostomy while the other three were managed conservatively. Symptomatic relief was equally good in both groups, in the short term.

Adult↗