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Updated: Jul 14, 2026
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Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
Published on: September 22, 2023
[Gastric volvulus: diagnosis and management]
Heykal Bedioui1, Zoubeir Bensafta
1Service de chirurgie A, Hôpital La Rabta, Tunis, Tunisie. h_bdioui@yahoo.fr
Presse Medicale (Paris, France : 1983)
|June 26, 2007
Summary
Gastric volvulus, an abnormal stomach rotation, is a medical emergency. Prompt diagnosis via imaging and surgical intervention are crucial to prevent ischemia and necrosis.
Area of Science:
- Gastroenterology and General Surgery
- Diagnostic Imaging
Context:
- Gastric volvulus involves abnormal rotation of the stomach, posing diagnostic and therapeutic challenges.
- Acute forms can lead to gastric strangulation, ischemia, and necrosis, necessitating urgent management.
- Predisposing factors include hiatal hernia and ligamentous laxity.
Purpose:
- To define gastric volvulus and its classifications (organoaxial and mesentericoaxial).
- To outline diagnostic methods, including radiography, barium swallow, and computed tomography (CT) scans.
- To discuss current surgical treatment strategies and controversies.
Summary:
- Gastric volvulus is classified by rotation axis; hiatal hernia is a common cause, while ligamentous laxity is a predisposing factor.
- Diagnosis is suspected with chest X-rays and confirmed with barium swallow, with CT scans offering detailed thoracic lesion assessment and stomach vitality.
- Treatment involves surgical reduction, repositioning, and addressing causative factors, with laparoscopic approaches increasingly utilized for chronic cases.
Impact:
- Highlights the critical nature of gastric volvulus as a diagnostic emergency.
- Emphasizes the role of advanced imaging like CT scans in assessing stomach vitality.
- Underscores the need for surgical intervention and discusses the evolving role of minimally invasive techniques.
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