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Published on: September 22, 2023
The management of acute gastric volvulus
Efstathios K Metaxas1, Nicolas Condilis, Haralampos Kyriazis
1Department of Thoracic Surgery, National Center of Energency Care (E.K.A.B.), Athens, Greece. metaxask@otenet.gr
Abstract:
Acute gastric volvulus occurs when the stomach or a part of it rotates more than 180 degrees which leads to obstruction (closed loop syndrome), that finally concludes to incarceration and ischemia of the organ. It can be observed as a result of diaphragmatic hernia, a gap of the diaphragm, pancreatic or gastric cancers, traumatic injuries and fixation anomalies. Parï first described acute gastric volvulus in 1579, in a patient with diaphragmatic injury after trauma. The first reports of successful surgical repair and anatomo-pathologic findings were published in 1866 and 1897.
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