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Gastric volvulus in children

Szu-Wen Chang1, Hung-Chang Lee, Chun-Yan Yeung

  • 1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.

Acta Paediatrica Taiwanica = Taiwan Er Ke Yi Xue Hui Za Zhi
|October 5, 2006
PubMed

Insights

Gastric volvulus in children is often chronic and may lack typical adult symptoms. Early recognition and tailored treatment, surgical for acute cases and conservative for chronic, are key for better outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Diagnostics

Background:

  • Gastric volvulus (GV) is a rare condition in pediatric patients.
  • GV may present with nonspecific symptoms, delaying diagnosis.

Purpose of the Study:

  • To analyze the clinical characteristics, presentation, and management of pediatric gastric volvulus.
  • To compare acute versus chronic GV and identify associated factors.

Main Methods:

  • Retrospective analysis of 15 pediatric patients diagnosed with GV between 1995 and 2005.
  • Classification of GV into acute (complete obstruction) and chronic (partial, nonspecific symptoms).

Main Results:

  • Chronic GV (12/15) was more frequent than acute GV (3/15).
  • Organoaxial volvulus was the most common type (9/15).
  • Associated anomalies were present in 6/15 patients; Borchardt's triad was absent in all acute cases.

Conclusions:

  • Pediatric acute GV may not present with Borchardt's triad, potentially delaying diagnosis.
  • Immediate surgical intervention is recommended for acute GV.
  • Conservative management can be effective for chronic idiopathic GV, considering patient-specific factors.

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