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[Chronic idiopathic gastric volvulus in children]

L Canazza1, E Bianchini, M Cerri

  • 1Istituti Clinici di Perfezionamento, Ospedale dei Bambini V. Buzzi, UO di Chirurgia Pediatrica, Via Castelvetro 32, 20154 Milano, Italia. chirpedbuzzi@tiscali.it

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|August 29, 2002
PubMed

Insights

Chronic idiopathic volvulus, a gastric condition, may not always require surgery. Conservative treatments are effective for some patients, while others may need surgical intervention if symptoms persist or recur.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Context:

  • Chronic idiopathic volvulus is a rare condition involving the abnormal rotation of the stomach.
  • Diagnosis can be challenging, especially with atypical symptoms mimicking gastroesophageal reflux disease.

Purpose:

  • To present clinical, radiographic, and instrumental data on 18 cases of gastric chronic idiopathic volvulus.
  • To evaluate the efficacy of conservative versus surgical management for this condition.

Summary:

  • 18 patients with gastric chronic idiopathic volvulus were diagnosed via barium meal or pHmetric esophageal monitoring.
  • Conservative treatment (antireflux positioning and prokinetics) was initiated, with 5 patients recovering after one year.
  • 13 patients required surgery due to lack of improvement or relapse during conservative therapy.

Impact:

  • Abnormal gastric position alone is not an absolute indication for surgery.
  • Surgical intervention should be considered when conservative medical management fails to alleviate symptoms or when relapse occurs.
Abstract

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