Gastric volvulus in children

Darani, A.; Mendoza-Sagaon, Mario; Reinberg, Olivier

doi:10.1016/j.jpedsurg.2005.01.057

Cited by 73 publications

(60 citation statements)

References 11 publications

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“…Examples include congenital Ladd bands, gastric pseudovolvulus or volvulus and others causes of gastric outlet obstruction. In our cases GER symptoms were secondary to gastric pseudo-volvulus a condition in which the stomach does not have a normal system of peritoneal ligaments and changes position with possible torsion around itself [Honna et al, 1990;Darani et al, 2005].…”

Section: Introductionmentioning

confidence: 65%

“…Incidentally, the gonads were identified at the internal ring of inguinal canal in both patients. Nissen fundoplication and anterior gastropexy (fixation of the gastric corpus to the anterior abdominal wall) [Johnson, 1986;Honna et al, 1990;Darani et al, 2005] were performed. Anorectal dilation of the internal sphincter was performed under anesthesia at the same time, as a first procedure to treat chronic constipation.…”

Section: Clinical Casesmentioning

confidence: 99%

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Gastrointestinal phenotype of ATR‐X syndrome

Martucciello

Lombardi

Savasta

et al. 2006

American J of Med Genetics Pt A

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X-linked alpha thalassemia mental retardation (ATR-X) syndrome is associated with profound developmental delay, facial dysmorphism, genital abnormalities, and alpha thalassemia. Patients with ATR-X syndrome frequently present with gastrointestinal problems, in particular feeding difficulties, regurgitation and vomiting, abdominal pain, distension, and chronic constipation. Parental reports of prolonged food refusal and distress in these children are common and although these episodes are suspected to be gastro-intestinal in origin they are rarely investigated. Death in early childhood from aspiration of vomitus or from pneumonia presumed to be secondary to aspiration has been recorded in a number of ATR-X cases. In this report we review the gastrointestinal phenotype of ATR-X syndrome in 128 cases. We also demonstrate that in two siblings, regurgitation was secondary to gastric pseudo-volvulus, a condition in which the stomach does not have a normal system of peritoneal ligaments and changes position with possible torsion around itself. Furthermore, ultra-short Hirschsprung disease with colonic hypoganglionosis was shown and this may contribute to the severe constipation affecting these children.

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Section: Introductionmentioning

confidence: 65%

Section: Clinical Casesmentioning

confidence: 99%

Gastrointestinal phenotype of ATR‐X syndrome

Martucciello

Lombardi

Savasta

et al. 2006

American J of Med Genetics Pt A

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“…Operative treatment includes reduction, correction of underlying cause and gastropexy. is not necessary for a successful outcome in secondary volvulus 22 . However, many authors prefer to fix the The patient maintained a satisfactory oxygen level and post operative radiograph showed satisfactory lung expansion.…”

Section: Discussionmentioning

confidence: 99%

“…Secondary causes are eventration ofthe diaphragm, diaphragmatic hernia, congenital bands, wandering spleen and paraesophegeal hernia. Primary volvulus is mainly mesentericoaxial in type while secondary volvulus is mainly organoaxial 21,22 . The clinical symptoms depend on the extent or degree of rotation and gastric outlet obstruction.…”

Section: Discussionmentioning

confidence: 99%

Diaphragmatic Hernia with Atypical Presentation - A Case Series

Shahid

Ali

Ahmed

et al. 2014

J. Bangladesh Coll. Phys.

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Congenital Diaphragmatic Hernia is one of the most challenging diagnosis faced by pediatric surgeons. From the time of its first anatomic description more than 300 years ago, CDH has carried a high mortality rate. We aimed to review patients who presented with hernia of diaphragm during the last six months. In this retrospective study, the medical records of three patients treated for diaphragmatic hernias who were admitted to Rajshahi Medical College Hospital between July 2012 and December 2012 were analyzed. Three patients with age of 45 days to 7 years were included in the study. Male to female ratio was 1:2. All patients had left-sided diaphragmatic hernia. Chest X-ray was obtained from all patients which was diagnostic. One patient needed thoracotomy incision. No patient required mesh repair. The mean hospitalization time was 14 days. There was no postoperative death. Diaphragmatic hernia is an uncommon and challenging situation for the surgeon. Prompt diagnosis and treatment prevent serious morbidity and mortality associated with complications such as gangrene and perforation of herniated organ.

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“…Gastric volvulus can occur at any age, however, it is more common in children [7]. The classic triad described by Borchardt's of retching, severe and constant epigastric pain, and difficulty in inserting a nasogastric tube suggests an acute gastric volvulus [2,3].…”

Section: Discussionmentioning

confidence: 99%

Strangulated Gastric Volvulus

Jethwani¹,

Singh²,

Rs³

et al. 2013

JCR

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Abstract:Gastric volvulus is a rare but potentially life-threatening condition. High index of suspicion is required in patients presenting with signs and symptoms suggestive of gastric outlet obstruction/Borchart's triad of epigastric pain and distension, retching or non-productive recurrent vomiting and difficulty in nasogastric tube insertion. We report a 14 year old young girl who presented in emergency department (ED) with signs of peritonitis and was later on diagnosed as acute gangrenous gastric volvulus. She was managed by immediate resuscitation, exploratory laparotomy and partial gastrectomy, anterior gastropexy and plication of diaphragm. Postoperative period was uneventful and patient was discharged on 6th postoperative day.

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Gastric volvulus in children

Abstract: Gastric volvulus is a clinical and radiological reality, which can be treated by a gastropexy. Initial fundoplication is not mandatory. The laparoscopic gastropexy is a good option and allows a repeat laparoscopic procedure if needed.

Cited by 73 publications

References 11 publications

Gastrointestinal phenotype of ATR‐X syndrome

Gastrointestinal phenotype of ATR‐X syndrome

Diaphragmatic Hernia with Atypical Presentation - A Case Series

Strangulated Gastric Volvulus

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