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Management of Acute Gastric Volvulus

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The SAGES Manual of Foregut Surgery

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Abstract

Acute gastric volvulus is a relatively rare, but serious, surgical emergency defined as rotation of the stomach greater than 180 °. This leads to foregut luminal obstruction and compromised blood flow to the stomach with ischemia and potentially necrosis. Treatment is initiated with gastric decompression via a nasogastric tube or endoscopic decompression. Definitive surgical management includes reduction of the volvulized stomach, resection of gastric necrosis if present, and gastropexy. A high index of suspicion is necessary to ensure a prompt work-up and intervention. If diagnosis and treatment are significantly delayed, morbidity and mortality rates can be high. This is related to the fact that the cohort of patients likely to be affected by this phenomenon is typically the elderly and often frail with decreased physiologic reserve to tolerate such an insult.

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Authors and Affiliations

  1. Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA

    Kathleen Simon & Jon Gould

Authors
  1. Kathleen Simon
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  2. Jon Gould
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Corresponding author

Correspondence to Jon Gould .

Editor information

Editors and Affiliations

  1. University of Alabama at Birmingham , Birmingham, AL, USA

    Jayleen Grams

  2. The Ohio State University, Columbus, OH, USA

    Kyle A. Perry

  3. Brigham and Women’s Hospital, Boston, MA, USA

    Ali Tavakkoli

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Simon, K., Gould, J. (2019). Management of Acute Gastric Volvulus. In: Grams, J., Perry, K., Tavakkoli, A. (eds) The SAGES Manual of Foregut Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-96122-4_22

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  • DOI: https://doi.org/10.1007/978-3-319-96122-4_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-96121-7

  • Online ISBN: 978-3-319-96122-4

  • eBook Packages: MedicineMedicine (R0)

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