How serious is gastric volvulus?
The nonoperative mortality for gastric volvulus is reportedly as high as 80%. Historically, mortality figures in the range of 30-50% have been reported for acute gastric volvulus, with the major cause of death being strangulation, which can lead to necrosis and perforation.
What is Organoaxial volvulus?
Organoaxial volvulus occurs when the stomach rotates 180 degrees around the long axis. A diaphragmatic hernia is frequently associated with this condition. Symptoms are typically acute in onset, and gastric ischemia is a potential complication. In mesenteroaxial volvulus, the stomach rotates around its short axis.
How does gastric volvulus happen?
Acute intrathoracic gastric volvulus occurs when the stomach undergoes organoaxial torsion in the chest due to either concomitant enlargement of the hiatus or a diaphragmatic hernia.
What is chronic gastric volvulus?
Gastric volvulus is characterized by rotation of the stomach along its long or short axis leading to variable degrees of gastric outlet obstruction, which may present acutely or chronically. It can be primary (due to gastric ligaments) or secondary (due to anatomical abnormalities).
What are the symptoms of gastric volvulus?
GASTRIC VOLVULUS The presenting symptoms can be intermittent or complete gastric obstruction, ischemia, pain, and/or bleeding. The most common signs and symptoms of gastric volvulus in children include acute abdominal pain, intractable retching, and the inability to pass a nasogastric tube into the stomach lumen.
How is gastric volvulus treated?
With chronic gastric volvulus, surgery is performed to prevent complications. The principles associated with the treatment of gastric volvulus include decompression, reduction, and prevention of recurrence, which are best accomplished with surgical therapy.
Is volvulus painful?
Volvulus causes severe pain and progressive injury to the intestinal wall, with accumulation of gas and fluid in the portion of the bowel obstructed. Ultimately, this can result in necrosis of the affected intestinal wall, acidosis, and death.
Is gastric volvulus painful?
Clinical Manifestations and Diagnosis The presentation of acute gastric volvulus includes sudden severe pain in the upper abdomen or lower chest and persistent but unproductive vomiting. Because the volvulus causes gastric obstruction, it is often impossible to pass a nasogastric tube into the stomach.
What does gastric volvulus feel like?
Typical symptoms of chronic gastric volvulus are vague and nonspecific and may include abdominal pain, vomiting, and dysphagia. Additional symptoms include heartburn and regurgitation.
Can volvulus be treated without surgery?
Share on Pinterest A volvulus needs immediate treatment and usually requires surgery. Prompt diagnosis of volvulus can help lead to successful treatment and better outcomes. If a person shows signs of having a volvulus, a doctor will do a physical examination and ask the person about their medical history.
What is reduction of gastric volvulus?
The first step of endoscopic gastropexy is to reduce the gastric volvulus. Typically, this can be done by advancing the scope beyond the gastroesophageal junction and insufflating the stomach with air. Even in the setting of a completely intrathoracic stomach, gastric insufflation will often reduce the stomach.
What are the symptoms of a failing kidney?
Failing kidneys don’t remove extra fluid, which builds up in your body causing swelling in the legs, ankles, feet, and/or hands.
What kind of pain does a kidney stone cause?
Kidney stones produce severe pain, usually in the back. Pain can also mean a kidney infection, which may be accompanied by a bladder infection as well. In some cases, the kidneys and liver might have cysts, which can be quite painful. 6.
Why do I feel like I need to vomit when I have kidney disease?
It’s understandable that you’d feel nauseated if your kidneys are letting “garbage” pile up in your system (the term for this phenomenon is “uremia”). Your body feels the need to expel the poisons, which can manifest as nausea and the feeling that you need to vomit. Sometimes, vomiting actually does occur.
What are the side effects of chronic kidney disease?
Potential complications may include: 1 Fluid retention, which could lead to swelling in your arms and legs, high blood pressure,… 2 A sudden rise in potassium levels in your blood (hyperkalemia),… 3 Heart and blood vessel (cardiovascular) disease. 4 Weak bones and an increased risk of bone fractures. 5 Anemia. 6 (more items)