Near-total gastric necrosis caused by acute gastric dilatation.
Gastric dilatation caused by psychogenic polyphagia or bulimia may, under extreme circumstances, progress to total gastric necrosis. We have described a patient in whom acute abdominal symptoms and signs developed while he was receiving psychiatric treatment. Laparotomy showed massive gastric dilatation with near-total infarction. Total gastrectomy with cervical esophagostomy, feeding and decompressing jejunostomies, and wide drainage of the gastric bed were done. After staged reconstruction, recovery was uneventful.
Reeve
T
T
Department of Surgery, University of Mississippi School of Medicine, Jackson 39216-4505.
Jackson
B
B
Scott-Conner
C
C
Sledge
C
C
D000328:Adult; D005743:Gastrectomy; D013271:Gastric Dilatation / Q000150:complications / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D009336:Necrosis; D012559:Schizophrenia / Q000150:complications; D013270:Stomach / Q000473:pathology*