[Chronic idiopathic gastric volvulus in children].
OBJECTIVE
We report clinical, radiograpic and instrumental data about 18 cases of gastric chronic idiopathic volvulus observed since 1997 to june 2000.


METHODS
All cases diagnosed by barium meal, performed for vomiting or after a pHmetric esophageal monitoring, in cases of atipical symptoms of gastroesophageal reflux disease.


RESULTS
All patients underwent a conservative treatment (antireflux position and procinectics): 5 recovered after 1 year of treatment and 13 were operated on because they did not improve during medical therapy or relapsed after the end of conservative treatment.


CONCLUSIONS
Abnormal position of the stomach is not an absolute indication for surgical treatment. When medical treatment does not obtain improvement in symptoms, surgical option has to be discussed.
Istituti Clinici di Perfezionamento, Ospedale dei Bambini V. Buzzi, UO di Chirurgia Pediatrica, Via Castelvetro 32, 20154 Milano, Italia. chirpedbuzzi@tiscali.it
L
L
Canazza
E
E
Bianchini
M
M
Cerri
G
G
Fava
M
M
Fontana
L
L
Maestri
S
S
Paccagnini
A
A
Pansini
G
G
Selvaggio
M
M
Torricelli
L
L
Zacconi
L
L
Pansini
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D005260:Female; D005764:Gastroesophageal Reflux / Q000209:etiology; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D013270:Stomach / Q000473:pathology; D013277:Stomach Volvulus / Q000150:complications / Q000175:diagnosis* / Q000601:surgery