The management of acute gastric volvulus
Efstathios K Metaxas 1, Nicolas Condilis 1, Haralampos Kyriazis 1, Grigorios Chrisostomidis 1, Demetra Tsakri 1, Theodoros Kotsifas 1
Affiliations
Article Info
1 Department of Thoracic Surgery
2 General Practitioner, National Center of Energency Care (E.K.A.B.), Athens, Greece
Abstract
Acute gastric volvulus occurs when the stomach or a part of it rotates more than 180° which leads to obstruction (closed loop syndrome), that finally concludes to incarceration and ischemia of the organ. It can be observed as a result of diaphragmatic hernia, a gap of the diaphragm, pancreatic or gastric cancers, traumatic injuries and fixation anomalies. Parï first described acute gastric volvulus in 1579, in a patient with diaphragmatic injury after trauma. The first reports of successful surgical repair and necrotomic findings were published in 1866 and 1897 1,2.
Keywords
- Acute gastric volvulus
- Diaphragmatic hernia
- Surgical treatment

