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[Gastric volvulus in children].

S A Youssef, M Di Lorenzo, S Yazbeck

    Chirurgie Pediatrique
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Gastric volvulus, a rare condition, is more common in children than previously thought. Early diagnosis and surgical gastropexy lead to successful treatment, even in infants.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Radiology

    Background:

    • Gastric volvulus is a rare condition with limited reported pediatric cases.
    • Historically, only 50 pediatric cases were documented before 1980.
    • Recent experience suggests a higher prevalence in children than previously recognized.

    Purpose of the Study:

    • To review the incidence and presentation of gastric volvulus in children over 30 years.
    • To highlight diagnostic methods and treatment outcomes for pediatric gastric volvulus.
    • To increase awareness of gastric volvulus in pediatric patients presenting with gastrointestinal symptoms.

    Main Methods:

    • Retrospective review of pediatric cases diagnosed with gastric volvulus.
    • Analysis of patient demographics, clinical presentation, diagnostic imaging, and treatment strategies.

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  • Correlation of associated anomalies with gastric volvulus presentation and outcomes.

    • Main Results:

    • Ten pediatric cases were identified over 30 years, all diagnosed post-1980.
    • Patients ranged from infants to adolescents, with both acute and chronic presentations.
    • Six cases (60%) had associated anomalies; eight patients were successfully treated with gastropexy.

    Conclusions:

    • Gastric volvulus may be underdiagnosed in the pediatric population.
    • Suspicion in infants with vomiting/failure to thrive and children with abdominal pain is crucial.
    • Prompt diagnosis via imaging and surgical gastropexy are effective treatment modalities.