Journal ArticleDOI
Acute gastric volvulus: A study of 25 cases
TLDR
This study suggests three important features of acute gastric volvulus, including Borchardt's triad: minimal abdominal findings when the stomach is in the thorax; a gas-filled viscus in the lower chest or upper abdomen shown by chest radiography; and obstruction at the site of volVulus shown by emergency upper gastrointestinal series.Abstract:
Twenty-five patients with acute gastric volvulus were studied. The two types, organoaxial and mesenteroaxial, are compared with respect to clinical characteristics, diagnosis, pathogenesis and treatment. An understanding of the varied features, including both thoracic and abdominal manifestations, is essential to early recognition and prompt treatment. In addition to Borchardt's triad, this study suggests three important features: (1) minimal abdominal findings when the stomach is in the thorax; (2) a gas-filled viscus in the lower chest or upper abdomen shown by chest radiography (Figure 8), and (3) obstruction at the site of volvulus shown by emergency upper gastrointestinal series. The high incidence of strangulation (28 percent) in this series attests to the urgency of this condition and is a compelling reason for the elective repair of paraesophageal hiatal hernias whenever possible.read more
Citations
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Journal ArticleDOI
Paraesophageal hernias: operation or observation?
TL;DR: If ELHR is routinely recommended, it would be more beneficial than WW in fewer than one of five patients, and even if an emergency operation is required, the burden of the procedure is not as severe as was thought in the past.
Journal ArticleDOI
Mesh in the hiatus: a controversial issue.
TL;DR: The information available showed that the use of a mesh for hiatal repair was safe and prevented recurrence, however, data on the long-term results were lacking, and infrequent but severe complications may arise.
Journal ArticleDOI
Gastric volvulus in infants and children.
TL;DR: The common features of acute and chronic gastric volvulus described in this review should assist pediatric health care providers in promptly diagnosing and treating this disease.
Journal ArticleDOI
Changing patterns in the management of gastric volvulus over 14 years.
TL;DR: This study represents a large series of patients with the condition Gastric volvulus, which can be difficult to diagnose and treat.
Journal ArticleDOI
Acute Gastric Volvulus: Diagnosis and Management over 10 Years
TL;DR: Volvulus can be treated successfully by open surgery with minimal morbidity and short hospitalization and requires a high index of suspicion for diagnosis, which is usually based on imaging studies.
References
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Journal ArticleDOI
Chronic and recurrent volvulus of the stomach with late results of "colonic displacement".
Journal ArticleDOI
Chronic Gastric Volvulus1
TL;DR: While the present discussion deals primarily with chronic or recurring volvulus, a brief consideration of the operative and postmortem findings in acutevolvulus helps one to appreciate the anatomical arrangement and some of the probab...
Journal ArticleDOI
Strangulating Diaphragmatic Hernia
Richard Carter,Lyman A. Brewer +1 more
TL;DR: Understanding that strangulated diaphragmatic hernia is a thoracoabdominal complex consisting of distinctive gastrointestinal and cardiorespiratory features will facilitate earlier diagnosis and treatment of this fatal condition.