Familial occurrence of intrathoracic gastric volvulus

Yin, Robert L.; Nowak, Thomas

doi:10.1007/bf01537006

Cited by 7 publications

(1 citation statement)

References 13 publications

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“…A retrocardiac double fluid level seen on a chest x-ray study in a suspected case of hiatal hernia should raise the question of intrathoracic gastric torsion [3]. The familial occurrence of gastric torsion has also been reported [9]. An intrathoracic location is fairly common, though all of our seven cases were intraabdominal and were of the organoaxial type.…”

Section: Discussionmentioning

confidence: 80%

Gastric Torsion: Not Such a Rare Entity

et al. 1991

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We describe seven patients who suffered chronic gastric torsion, seen during a 28-month period. Four were children, of which three were infants. The infants had projectile vomiting and two also had failure to thrive. The adults presented with epigastric pain and vomiting. Upper gastrointestinal series clinched the diagnosis in all patients. The classic radiographic presentation of a stomach lying across the epigastrium with the cardia and fundus in a dependent position to the body of the stomach and pylorus may be overlooked in some cases. Choice of surgical procedure in its management has been discussed. There was no associated abnormality in four of the six operated cases. One infant had an atretic bowel, vascular anomalies, umbilical hernia, and previous meconium peritonitis; a second infant had jejunojejunal intussusception. A high index of suspicion is warranted in patients presenting with recurrent abdominal pain or in infants with unexplained vomiting and failure to thrive. Upper gastrointestinal series in adults should preferably be performed while the pain is present.

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Section: Discussionmentioning

confidence: 80%

Gastric Torsion: Not Such a Rare Entity

et al. 1991

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Surgical results of intrathoracic gastric volvulus complicating hiatal hernia

Haas

Rat

Christophe

et al. 1990

Journal of British Surgery

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From 1981 to 1988, 138 patients with hiatal hernia were treated surgically at our centre. Twenty-one (mean age 76.6 years, 17 women, four men) had an associated intrathoracic gastric volvulus. Eleven patients (mean age 73.2 years), of whom eight were asymptomatic, had an elective procedure. Ten patients (mean age 80.3 years) had emergency surgery, six for acute complications of the volvulus (five cases of strangulation and one of perforated ulcer) and four because of other, unrelated causes of acute abdomen. There were four deaths after operation, all in the emergency surgery group. Four other patients had significant morbidity, all in the emergency group. In the elective cases, all hernias were easily reduced. In one emergency case a gastrotomy was necessary for decompression, and in another gastrectomy was necessary because of gastric gangrene. Our results indicate the need for elective intervention when intrathoracic gastric volvulus is first diagnosed.

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Repair of Hiatus Hernia

Eradi

Stewart

2017

Esophageal and Gastric Disorders in Infancy and Childhood

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Familial occurrence of intrathoracic gastric volvulus

Cited by 7 publications

References 13 publications

Gastric Torsion: Not Such a Rare Entity

Gastric Torsion: Not Such a Rare Entity

Surgical results of intrathoracic gastric volvulus complicating hiatal hernia

Repair of Hiatus Hernia

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