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Wednesday, March 31, 2021

Gastric Volvulus

Taming The SRU
Taming The SRU - March 31, 2021 - By Stephanie Winslow
“SUMMARY
Acute gastric volvulus occurs due to an abnormal rotation of the stomach given gastric ligament or other anatomic abnormalities within the abdomen. Patients typically present with abdominal pain and vomiting due to complications of obstruction, ischemia, or perforation. Plain radiography is the initial test of choice, although CT studies are frequently required. Most patients will require open surgical reduction and fixation; however, initial management should include decompression of the stomach with a nasogastric tube. Laparoscopic and endoscopic options have become more common due to the benefit of decreased length of hospitalization, especially in patients who are at high risk for complication from open operative intervention.”