[Acute gastrectasia]

The authors report their 20 observations of acute gastrectasia. An importance of early diagnosis of this pathology is emphasized, and due attention should be given to a proper interpretation of the observed symptoms. Also, the authors stress the importance of decompensated pyloric stenosis in the development of acute gastrectasia. It is concluded that in early diagnosis of acute gastric dilation the complex conservative therapy with a mandatory gastric sounding, correction of hydroelectrolytic disorders and patients' being in Shnitzler-Diterichs posture are of primary importance. In case of failure of this therapy and for intraoperative establishing of the diagnosis of acute gastrectasia gastrostomy may be performed.