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What Is Gastric Volvulus?
Gastric Volvulus or Stomach Volvulus is a rare medical condition in which there is unnatural gyration of stomach at an angle of more than 180 degrees thus creating an obstruction which is in the form of a closed loop which can cause enteral strangulation . The classic presenting feature of Gastric Volvulus or Volvulus of Stomach is stern epigastric pain , severe retching , and an unfitness for an NG tube to hap through the stomach . As Gastric Volvulus is a rare entity and many case are not diagnosed hence how often does this condition have station is comparatively unknown . This consideration affect both males and females as . Most of the font diagnosed have been in nipper below one year of age but there have been cases of this precondition being diagnosed in teenagers as well . Gastric Volvulus in children is caused due to inborn defects in the diaphragm .
What Are The Causes Of Gastric Volvulus?
Gastric Volvulus or Stomach Volvulus is basically of two types , eccentric 1 which is also called as Idiopathic Gastric Volvulus and Type 2 which is knows as Congenital or Acquired Gastric Volvulus .
case 1 Or Idiopathic Gastric Volvulus : About 30 % of cases of Gastric Volvulus are those of eccentric 1 or Idiopathic Gastric Volvulus . This condition is commonly make due to abnormal laxity of gastroduodenal , gastrophrenic , and gastrohepatic ligament . This type of Gastric Volvulus is more commonly see in grownup but is also seen in children .
Type 2 Or Congenital Or Acquired Gastric Volvulus : Around 25 % of multitude mostly children have this contour of Gastric Volvulus . This is usually associated with congenital or acquired anomalies causing abnormal mobility of the stomach .
What Are Some Of The Symptoms Of Gastric Volvulus?
Acute Gastric Volvulus : The classical feature of this eccentric of Gastric Volvulus is knockout abdominal pain sensation , retching with difficulty in return an NG underground in the stomach . This is present in about 75 % of case of Gastric Volvulus . Studies have also show bearing of gas - filled viscus in lower chest or upper belly on thorax go - rays and impediment note on upper GI series . Also noted in such cases have been terrible hiccups . Intraabdominal Gastric Volvulus commonly presents itself as sudden attack severe epigastric or left upper quarter-circle nuisance . Intrathoracic stomachal volvulus presents itself as a sharp chest nuisance going towards the odd side of neck , shoulder , arms , and back . In some cases there may be observation of hematemesis which is quite serious and can promptly progress to hypovolaemic stupor .
Chronic Gastric Volvulus : soul with this type of Gastric Volvulus or Volvulus of Stomach present with intermittent epigastric pain along with abdominal fullness after use up a meal . Individuals may also report former repletion , dyspnea , and dresser pain in some cases . In typeface if there is some abnormality in the GE juncture then there may also be dysphagia .
How Is Gastric Volvulus Diagnosed?
If a detailed forcible examination is channel for corroborate Gastric Volvulus in an individual , it may reveal inconclusive results as there are many more conditions which mime the symptom produced by Gastric Volvulus hence more invasive studies in the form of radiographic studies , imagination , and upper GI serial publication are done for a more confirmative diagnosing of Gastric Volvulus . Imaging in the bod of CT scan usually corroborate the presence of Gastric Volvulus . An endoscopy may also confirm the diagnosing of Gastric Volvulus . If a thorax hug drug - electron beam is taken it will show gun - filled viscus which also confirms diagnosis of Gastric Volvulus or Volvulus of Stomach . Abdominal radiographs will unveil massively distended internal organ in upper abdomen . Another way to confirm the presence of Gastric Volvulus is to guide an Upper GI series . This is done using Ba and virtually support the presence of Gastric Volvulus .
What Is The Treatment For Gastric Volvulus?
The mainstream intervention for Gastric Volvulus or Volvulus of Stomach is emergent surgical repair , although in those patient role who are not good surgical candidates endoscopic step-down is the treatment of choice . The surgical operation to care for Gastric Volvulus is done using the laparoscopic approach . Some of the precondition which may make a affected role a poor prospect for surgical repair is intolerance of anesthesia .
Once an individual is diagnosed with Gastric Volvulus or Stomach Volvulus , the patient role is medically cleared and prepared for surgery to correct the blockage . The individual is also administered analgesics and anti - vomiting medicament .
Endoscopic reducing : In this method an endoscope is inclose via the mouth and introduce to the tum beyond the distributor point of the volvulus and then rotate to even out the volvulus of the breadbasket . This mode of treatment is applicable for those individuals who are pathetic candidates for surgery . Post endoscopic reduction , an endoscopic gastrostomy subway system is placed to prevent return .
Is There Any Recommended Diet Plan For Gastric Volvulus Or Volvulus Of Stomach?
Yes , there are sure dietetic modifications which can be done pre and post treatment for single affect with Gastric Volvulus or Volvulus of Stomach . Some of the dietetic modifications are as name below :
Patient after abdominal or chest of drawers surgery may not be able-bodied to eat normal diet for several days . Surgery on gastrointestinal system may be followed nothing by mouth for 10 to 15 days . In all other surgery the oral inspiration or unwritten dieting introduction bet on type of anaesthesia founder to patient . Surgery is performed either under general , regional or local anaesthesia . The general anaesthesia often causes sickness and sick for 24 to 48 hrs . In such cases liquid diet is choose for 1 to 2 days after surgery . The deep or light sedation is given when operating theater is performed under regional anaesthesia like spinal , epidural or face block . Sedation like general anaesthesia may cause sickness and retch for 24 hours . mentality surgery , surgery of backtalk and oral cavity also delay the oral feeding or intake of food by rima oris . In short the time of founding of unwritten eating depends on character of surgical process and anesthesia .
book of facts :
Søreide , K. , Thorsen , K. , Harrison , E. M. , Bingener , J. , Møller , M. H. , Ohene - Yeboah , M. , … & Søreide , J. A. ( 2019 ) . Perforated stomachic ulceration . The Lancet , 394(10208 ) , 1539 - 1546 .
Zizzo , M. , & Bianco , G. ( 2018 ) . Gastric volvulus in pediatric surgery . Annali italiani di chirurgia , 89 , 224 - 227 .
Aranez , J. T. , Leopando , M. T. M. , & Reyes , L. B. ( 2019 ) . Congenital Gastric Volvulus : A Rare Cause of Gastric Outlet Obstruction in a Pediatric Patient . Philippine Journal of Otolaryngology Head and Neck Surgery , 34(2 ) , 77 - 81 .
Emara , K. M. ( 2021 ) . Acute gastric volvulus in child : the experience of 13 years at a tertiary children ’s infirmary . Annals of Pediatric Surgery , 17(1 ) , 1 - 7 .
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