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Gastric volvulus



Gastric volvulus
Classification & external resources
DiseasesDB 32054
eMedicine med/2714  radio/296

Gastric volvulus a twisting of all or part of the stomach by more than 180 degrees with obstruction of the flow of material through the stomach, variable loss of blood supply and possible tissue death. The twisting can occur around the long axis of the stomach, this is called organoaxial or around the axis perpendicular to this, called mesenteroaxial. Obstruction and ischemia are more likely in mesenteroaxial twisting than with organoaxial. About one third of the cases are associated with a hiatus hernia. Treatment is surgical.

The classic triad of gastric volvulus, described by Borchardt in 1904, consists of severe epigastric pain, retching without vomiting and inability to pass a nasogastric tube.

References

  • Schaefer D, Nikoomenesh P, Moore C (1997). "Gastric volvulus: an old disease process with some new twists.". Gastroenterologist 5 (1): 41-5. PMID 9074918.
 
This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Gastric_volvulus". A list of authors is available in Wikipedia.
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