The management of acute gastric volvulus

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.