[Gastric volvulus. A clinical therapeutic contribution]

Gastric volvulus is an infrequent event and few clinical cases are an important experience. Diagnosis, both clinical and radiological, is not difficult if you think of gastric volvulus; abdomen X-ray is often sufficient to clear up diagnostic doubts. First diagnosis can be quickly confirmed by X-ray examination of digestive organs that provides us with further information: contemporaneous ulcerative of neoplastic lesions, characteristics of bowels whirling round. Endoscopic and manometric evaluation must be performed only in recurrent or chronic cases, when there's no symptom of clinical urgency. Authors describe their experience of three cases observed in the last ten years and underline the importance of deciding and performing the surgical treatment quickly to avoid serious complications, in all doubtful cases. It is important to carry out an operation compared to the pathogenesis of volvulus: generally gastropexy is sufficient while radical operations are executed only in cae of gastric necrosis or in the presence of gastric neoplasms or ulcerative lesions.