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Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
Atypical Presentation of Gastric Volvulus
Denzil Etienne1, Mel A Ona1, Madhavi Reddy1
1Department of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Academic Affiliate of The Icahn School of Medicine at Mount Sinai, Clinical Affiliate of The Mount Sinai Hospital, 121 Dekalb Avenue, Brooklyn, New York 11201, USA.
Gastric volvulus, a stomach twisting condition, affects all ages but is common in the elderly. Treatment varies from minimally invasive procedures for acute cases to conservative management for chronic conditions.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Gastric volvulus is a rare condition involving the twisting of the stomach.
- It can occur in all age groups but is more frequently diagnosed in the elderly population.
Observation:
- Organo-axial volvulus is the most prevalent type, followed by mesentero-axial and combined forms.
- Gastric volvulus is classified as primary (idiopathic) or secondary, based on its cause.
Findings:
- Acute gastric volvulus management depends on patient condition, utilizing laparoscopic or endoscopic interventions.
- Chronic gastric volvulus is often managed conservatively, with endoscopic or laparoscopic options for severe cases.
Implications:
- Understanding the classification and common types of gastric volvulus aids in diagnosis.
- Tailored treatment strategies are crucial for effective management of both acute and chronic gastric volvulus.
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