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Gastric volvulus and associated gastro-oesophageal reflux
M Samuel1, D M Burge, D M Griffiths
1Wessex Regional Centre for Paediatric Surgery, Southampton General Hospital.
Archives of Disease in Childhood
|November 1, 1995
Summary
Gastric volvulus in infants can cause severe symptoms like abdominal pain and vomiting. Anterior gastropexy combined with conservative management effectively treated these cases, resolving gastro-oesophageal reflux.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Gastric volvulus is a rare condition in infants.
- It often presents with gastro-oesophageal reflux (GOR) and significant symptoms.
- Associated symptoms include abdominal pain, vomiting, distension, and failure to thrive.
Purpose of the Study:
- To evaluate the efficacy of anterior gastropexy and conservative management for gastric volvulus with GOR in infants.
Main Methods:
- Retrospective review of 10 neurologically normal children diagnosed with gastric volvulus and GOR between 1984 and 1994.
- Treatment involved anterior gastropexy and conservative management of GOR.
Main Results:
- All 10 patients presented with common features: episodic colicky abdominal pain, non-bilious vomiting, upper abdominal distension, hematemesis, and failure to thrive.
- Anterior gastropexy and conservative GOR management were curative in all cases.
Conclusions:
- Anterior gastropexy combined with conservative management is a highly effective treatment for gastric volvulus with GOR in infants.
- This approach resolves symptoms and improves outcomes in affected children.