Gastric Volvulus

Gastric volvulus is abnormal twisting of stomach (organoaxial/mesenteroaxial), due to diaphragmatic hernia, ligament laxity, or adhesions, presenting with sudden severe epigastric pain, retching without vomiting (Borchardt triad), and risk of ischemia/necrosis. Treatment: NPO; immediate nasogastric decompression; IV fluids; emergency surgical detorsion and fixation; repair diaphragmatic hernia/hiatal hernia; gastrectomy if necrotic; prevent recurrence; ICU monitoring; follow-up.

Common Symptoms

Sudden severe epigastric pain; retching without vomiting; by diaphragmatic hernia/laxity

Causes and Pathogenesis

Twisting causes obstruction and possible ischemia/necrosis.

Treatment

NPO; decompression; emergency surgery; repair cause; gastrectomy if necrotic

Preventive Measures

Treat diaphragmatic/hiatal hernia early.

Department to Visit

It is recommended to visit the Gastrointestinal-surgery/Emergency/Thoracic-surgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.