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Gastric volvulus: an old disease process with some new twists
D C Schaefer1, P Nikoomenesh, C Moore
1Division of Digestive Diseases, John Hopkins School of Medicine, Baltimore, MD, USA.
The Gastroenterologist
|March 1, 1997
Summary
Gastric volvulus, particularly the chronic form, is often misdiagnosed due to vague symptoms. This review covers classification, diagnosis, and treatment, emphasizing chronic presentation with endoscopic and radiographic insights.
Area of Science:
- Gastroenterology and Surgical Pathology
Background:
- Gastric volvulus is a rare condition involving the abnormal rotation of the stomach.
- Acute gastric volvulus is dramatic and easily diagnosed, but chronic or subacute forms present with nonspecific symptoms, leading to delayed diagnosis.
Observation:
- The subacute or chronic presentation of gastric volvulus is frequently misdiagnosed.
- Nonspecific gastrointestinal symptoms can obscure the diagnosis.
- Case descriptions illustrate endoscopic and radiographic findings.
Findings:
- This review synthesizes the classification, diagnosis, and treatment of gastric volvulus.
- It highlights the diagnostic challenges posed by chronic gastric volvulus.
- Endoscopic and radiographic features are detailed for chronic cases.
Implications:
- Improved recognition of chronic gastric volvulus is crucial for timely intervention.
- Understanding subtle presentations can prevent diagnostic delays.
- This review aids clinicians in diagnosing and managing gastric volvulus effectively.