Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Gastric volvulus
Introduction
Contributors: Cafer Zorkun M.D., PhD.
Overview
Overview
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. [1]
Clinical Presentations
Clinical Presentations
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.
Diagnostic Findings
Diagnostic Findings
Patient #1: Organoaxial gastric volvulus
Patient #2: Organoaxial gastric volvulus
References
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.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]