Volvulus of the stomach: A review with a report of 8 cases

Wastell, C; Ellis, Harold

doi:10.1002/bjs.1800580802

Cited by 98 publications

(35 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Distension caused by the presence of food in the absence of one of these ligaments may lead to primary rotation. 20,21 It is recommended that in certain cases the surgeon may observe the tendency of the gastric tube to form a coil shape and that fixation sutures be applied to the greater omentum to correct the deformity and maintain it in the proper position. 22 On the contrary to our study the first randomized study comparing omentopexy to no omentopexy published by Afaneh C et al, stated that there was no difference between both groups but this may be explained by some points First, they continue medications on proton pump for 3 months and this may mask the symptoms.…”

Section: Resultsmentioning

confidence: 99%

Role of staple line fixation during laparoscopic sleeve gastrectomy

Elbalshy¹,

Fayed²,

Abdelshahid³

et al. 2017

Int Surg J

View full text Add to dashboard Cite

Background: Although sleeve gastrectomy provides a technically simple procedure with minimal effect on digestive tract it deprives the stomach of its ligaments of fixation which results in impairment of gastric functions, vomiting, axial gastric rotation in addition to bleeding or leakage from the stable line. Objective of present study is the effect of stable line fixation during sleeve gastrectomy.Methods: This is a prospective randomized study using closed envelop method carried on 100 patients with morbid obesity who underwent laparoscopic sleeve gastrectomy (LSG) they were divided into two groups each is 50 patient group A underwent classic (LSG) with no fixation and group (B) with staple line fixation.Results: Patients were 68 females and 32 males with a mean age of 32.2±5.7 years, mean (BMI) 48.9±8.6kg/m2. postoperative vomiting, gastric axial rotation, impaired gastric emptying all were significantly higher in group A. Although both staple line bleeding and leakage were higher in the group A, but it was not statistically significant. Also, the operative time was shorter in the group A, but it was not significant.Conclusions: staple line fixation should be a step during sleeve gastrectomy as it regains the stomach its ligaments of fixation anatomically and so functions better less vomiting, less gastric axial rotation, better gastric emptying in addition to decreasing staple line bleeding and leakage with minimal effect on operative time.

show abstract

Section: Resultsmentioning

confidence: 99%

Role of staple line fixation during laparoscopic sleeve gastrectomy

Elbalshy¹,

Fayed²,

Abdelshahid³

et al. 2017

Int Surg J

View full text Add to dashboard Cite

show abstract

“…The incidences are approximately equal in men and women. 3,4 The etiology is unclear, but it is usually found in conjunction with anatomic abnormalities such as BRIEF REPORTS BRIEF REPORTS paraesophageal hernias or diaphragmatic defects. However, one third of patients have no associated findings.…”

Section: Discussionmentioning

confidence: 99%

“…However, one third of patients have no associated findings. 2,4 It is believed that the major factor leading to gastric volvulus is the laxity of the four gastric ligaments:…”

Section: Discussionmentioning

confidence: 99%

“…Gangrene secondary to strangulation may occur in 25% of the cases. 1,4,5 In 1904, Borchardt described a triad of unproductive retching, acute epigastric distension, and inability to pass a nasogastric tube suggestive of acute gastric volvulus. 8 Recent reports have also shown that gastric volvulus (acute or chronic) can be relieved by endoscopy.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute Gastric Volvulus: A Case Report

Tanen

1999

Academic Emergency Medicine

View full text Add to dashboard Cite

“…

Acute gastric volvulus is an uncommon condition, which usually presents with the Borchardt triad of epigastric pain, retching without vomiting, and inability to pass a nasogastric tube [1,2].A 23-year-old female presented with upper abdominal pain of 1 day's duration, associated with non-bilious vomiting and shortness of breath. She underwent an uneventful Cesarean section 10 days prior to admission.

…”

mentioning

confidence: 99%