The management of acute gastric volvulus.
Acute gastric volvulus occurs when the stomach or a part of it rotates more than 180 degrees which leads to obstruction (closed loop syndrome), that finally concludes to incarceration and ischemia of the organ. It can be observed as a result of diaphragmatic hernia, a gap of the diaphragm, pancreatic or gastric cancers, traumatic injuries and fixation anomalies. Parï first described acute gastric volvulus in 1579, in a patient with diaphragmatic injury after trauma. The first reports of successful surgical repair and anatomo-pathologic findings were published in 1866 and 1897.
Department of Thoracic Surgery, National Center of Energency Care (E.K.A.B.), Athens, Greece. metaxask@otenet.gr
Efstathios K
EK
Metaxas
Nicolas
N
Condilis
Haralampos
H
Kyriazis
Grigorios
G
Chrisostomidis
Demetra
D
Tsakri
Theodoros
T
Kotsifas
D000208:Acute Disease; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013277:Stomach Volvulus / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome