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Dig Dis Sci 2021 Jun 7. Epub 2021 Jun 7.

Department of Paediatric Surgery, Meyer Children's Hospital, University of Florence, Viale Pieraccini 24, 50139, Florence, Italy.

Introduction: In the setting of intermittent abdominal pain accompanied by gastro-intestinal obstruction, gastric volvulus should be suspected.

Areas Covered: A 10-year-old girl was admitted to our hospital for intermitted abdominal pain associated with recurrent non-bilious vomiting and acute weight loss. The radiological images performed at the district general hospital were reported as negative. Read More

Radiol Case Rep 2021 Jul 26;16(7):1907-1911. Epub 2021 May 26.

Radiology Department of Hospital Universiti Kebangsaan Malaysia, UKM. Kuala Lumpur, Malaysia.

Gastric volvulus is an uncommon disorder with an unknown incidence, unless it stays in the back of the diagnostician's mind, diagnosis of gastric volvulus, which can have significant morbidity and mortality associated with it, can be easily missed and can present either in the acute or chronic setting with variable symptoms. When it occurs in the acute scenario, patients present with severe epigastric pain and retching without vomiting. Together with inability to pass nasogastric tube, they constitute Borchardt's triad. Read More

Int J Surg Case Rep 2021 May 21;83:106004. Epub 2021 May 21.

Department of General Surgery, Qatif Central Hospital, Qatif, Saudi Arabia.

Introduction: Intestinal obstruction considered to be one of the most common surgical presentation. Adhesions secondary to previous operations, hernias, neoplasms, inflammatory bowel disease, intussusception, or volvulus are the usual causes of intestinal obstruction but bezoar can presents in 0.4-4%. Read More

Minim Invasive Surg 2021 6;2021:9962130. Epub 2021 May 6.

University of Maryland Community Medical Group, Easton, MD, USA.

Background: Sleeve gastrectomy is the most commonly performed bariatric procedure. Laparoscopic longitudinal gastrectomy (LLG) may be indicated for other indications. . Read More

Indian J Surg 2021 May 17:1-4. Epub 2021 May 17.

Institute of General Surgery, Madras Medical College, Chennai, Tamil Nadu India.

Stomach is a highly vascular organ in the gastrointestinal tract. It is very rare for a stomach to go in for gangrene even in cases of volvulus. Spontaneous gangrene due to acute necrotizing gastritis is a very rare and dreaded condition. Read More

Front Pediatr 2021 14;9:618596. Epub 2021 Apr 14.

Train and Help Babies Organization, Dallas, TX, United States.

A congenital diaphragmatic hernia (CDH) occurs when the abdominal contents protrude into the thoracic cavity through an opening in the diaphragm. The main pathology lies in the maldevelopment or defective fusion of the pleuroperitoneal membranes. Delayed diagnosis in later childhood as in the index case reported here can lead to life-threatening complications such as tension gastrothorax and gastric volvulus. Read More

Radiol Case Rep 2021 Jun 14;16(6):1469-1472. Epub 2021 Apr 14.

Radiology Department, Hospital Universitario Marqués de Valdecilla, Avda Valdecilla sn 39008, Santander, Spain.

We present a case of cecal bascule in a 60-year-old woman with abdominal pain and vomiting. Imaging tests revealed a cecal bascule causing mechanic obstruction of the stomach. Besides a small bowel dilatation was not seen, the distended cecum was extrinsically obstructing the antrum and therefore, the gastric outlet. Read More

N Z Vet J 2021 May 25:1-7. Epub 2021 May 25.

Department of Veterinary Clinical Sciences, Melbourne Veterinary School, University of Melbourne, Werribee, Australia.

Aims: To determine the association between the presence of pet health insurance and the risk of euthanasia at the time of diagnosis for dogs with gastric dilatation-volvulus (GDV).

Methods: Insurance status at the time of GDV diagnosis was sought for a cohort of 147 non-referred, confirmed cases of GDV that presented to the emergency department of a university-based veterinary hospital in Australia between 2008 and 2017. Insurance status was obtained from the medical record (n=18) or after contacting the owners by phone using a standardised questionnaire (n=129). Read More

Exp Clin Transplant 2021 Apr 16. Epub 2021 Apr 16.

From the the Intestinal Rehabilitation and Transplant Center, Starzl Transplantation Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Current therapeutic options with prokinetic agents for posttransplant gastroparesis are limited. Erythromycin is associated with adverse reactions, including corrected QT interval prolongation and cytochrome P450 3A4 isoenzyme inhibition. The use of erythromycin has been avoided in patients undergoing treatment with cyclosporine or tacrolimus because of significant fluctuations in therapeutic immunosuppression levels. Read More

Int J Surg Case Rep 2021 May 7;82:105873. Epub 2021 Apr 7.

Esophageal Institute, Allegheny Health Network, Pittsburgh, PA, United States. Electronic address:

Introduction: Acute gastric volvulus is a surgical emergency with a mortality as high as 15-20%. The rarity of gastric volvulus requires high index of clinical suspicion especially in the patients with altered anatomy, to allow immediate surgical intervention and reduce the morbidity and mortality.

Presentation Of Case: We present an unusual case of gastric remnant volvulus several months following Roux-en-Y esophagojejunostomy performed in an obese patient for severe, recurrent gastroesophageal reflux disease (GERD) and failed prior fundoplication. Read More

Vet Rec 2021 Apr 2;188(7):e113. Epub 2021 Feb 2.

Dipartimento Dell'Emergenze e trapianti di Organo, sez. Cliniche Veterinarie e P.a., Università degli Studi di Bari "Aldo Moro", Bari, Italy.

Background: This study evaluated the feasibility and efficacy of a laparoscopic absorbable fixation device (Securestrap) in total laparoscopic gastropexy in dogs susceptible to gastric dilatation-volvulus (GDV) compared to laparoscopic gastropexy performed with a barbed suture. We hypothesised that both techniques provide suitable gastropexy.

Methods: The gastropexy was performed by straps (TLG-SS group, n = 6) or with a barbed suture (TLG-Vloc group, n = 6). Read More

Cureus 2021 Feb 11;13(2):e13285. Epub 2021 Feb 11.

Internal Medicine, Hospital Do Litoral Alentejano, Santiago do Cacém, PRT.

Gastric volvulus can be defined as an abnormal rotation of the stomach. It can be both an emergency and a chronic intermittent problem. Being such a rare clinical entity and a difficult condition to diagnose, it is commonly diagnosed at the time of surgery or even at autopsy. Read More

Pediatr Radiol 2021 Feb 20. Epub 2021 Feb 20.

Department of Radiology and Fetal Medicine Institute, Children's National Medical Center, 111 Michigan Ave., Washington, DC, 20010, USA.

Background: Malrotation of the bowel refers to any variation in the rotation and fixation of the gastrointestinal tract during the first trimester and is most commonly detected postnatally. Nonrotation of the bowel and incomplete rotation of the bowel are subtypes of malrotation.

Objective: To determine if the nonrotation subtype of malrotation of the bowel can be detected on prenatal magnetic resonance imaging (MRI). Read More

BMC Pediatr 2021 02 19;21(1):91. Epub 2021 Feb 19.

Department of Radiology and Research Institute of Radiological Science, Severance Children's Hospital, Yonsei University College of Medicine, 50-1Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.

Background: In neonatal intensive care unit (NICU) patients with intubation status, fluoroscopic evaluation for the bowel is limited. This study was to evaluate the utility of bedside upper gastrointestinal (UGI) series with delayed radiographs (DR) for assessing duodenojejunal junction (DJJ) and small bowel passage in NICU patients with nonspecific bowel ultrasonography and contrast enema findings.

Methods: We reviewed clinical and imaging data for bedside UGI with DR of NICU patients from 2014 to 2019. Read More

J Small Anim Pract 2021 Feb 18. Epub 2021 Feb 18.

Wear Referrals Veterinary Hospital, Bradbury, Stockton-on-Tees, TS212ES, UK.

Historically, omentalisation and serosal patching have been used to augment gastrointestinal wall defects or incisions where gastrointestinal viability is of concern. This report describes the novel use of a transversus abdominis muscle on-lay flap to augment and provide support to compromised intestine in three cases. The muscle flap was used to support: the ileum following reduction of an intussusception in a dog (case 1), the gastric wall following gastric strangulation, dilation and volvulus in a diaphragmatic rupture in a cat (case 2) and the jejunum following enterotomy and full-thickness ulcer resection with primary repair in a dog (case 3). Read More

Cir Esp (Engl Ed) 2021 Feb 5. Epub 2021 Feb 5.

Servicio de Cirugía General y Digestiva, Departamento de Cirugía Gastrointestinal, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, España.

Top Companion Anim Med 2021 Jun 3;43:100517. Epub 2021 Feb 3.

Department of Clinical Sciences, Colorado State University's College of Veterinary Medicine and Biomedical Sciences, Fort Collins, CO, USA. Electronic address:

A 5-year-old, female intact guinea pig (Cavia porcellus) presented for acute inappetence. The abdomen was severely distended and tympanic with moderate discomfort. Radiographs showed gastric distension and displacement. Read More

BMJ Case Rep 2021 Jan 28;14(1). Epub 2021 Jan 28.

Department of General Surgery, University of Michigan, Ann Arbor, Michigan, USA.

This case highlights a 37-year-old woman with primary sclerosing cholangitis awaiting liver transplantation who presented with torsion of a wandering spleen with associated gastric and pancreatic volvulus. The patient underwent emergent exploratory laparotomy with splenectomy. She had an uncomplicated postoperative course and recovered well. Read More

Emergencias 2021 Feb;33(1):78-79

Servicio de Cirugía General y del Aparato Digestivo, Complejo Asistencial Universitario de Salamanca. Salamanca, España. Unidad de Cirugía Esofagogástrica y de la Obesidad, Complejo Asistencial Universitario de Salamanca. Salamanca, España.

Int J Surg Case Rep 2021 Feb 6;79:108-111. Epub 2021 Jan 6.

Division of Digestive Surgery, University Hospitals of Geneva, 1205, Geneva, Switzerland.

Introduction: Gastric volvulus are rare. Complications can be life threatening, including necrosis and perforation. Assessment of mucosal viability is essential, and urgent surgical intervention is mandatory in case of vascular compromise. Read More

JSLS 2020 Oct-Dec;24(4)

University Clinical Hospital, School of Medical Sciences, Digestive Diseases Surgical Unit and Gastrocentro, State University of Campinas, Sao Paulo, Brazil.

Background: Gastric volvulus is a rare condition, characterized by abnormal rotation of the stomach, causing obstruction with risk of ischemia, necrosis, and perforation. It is associated with high morbidity and mortality rates and, as it is life threatening, early diagnosis and treatment are crucial.

Methods: Retrospective study of medical records of intrathoracic gastric volvulus patients treated by video-laparoscopy from January 2000 to December 2018, in a University Hospital. Read More

J Surg Case Rep 2020 Dec 31;2020(12):rjaa555. Epub 2020 Dec 31.

Department of Colorectal Surgery, University of Sydney, Concord Repatriation General Hospital, Sydney, New South Wales, Australia.

Recurrent neo-left colonic volvulus is a rare complication following anterior resection. The conventional approach to treating recurrent volvulus is a large bowel resection with anastomosis or colostomy formation after successful endoscopic decompression. However, in elderly and comorbid patients, this can result in significant morbidity or mortality. Read More

Int J Surg Case Rep 2021 Jan 16;78:303-306. Epub 2020 Dec 16.

Department of Surgery, Hospital Regional "General Ignacio Zaragoza" ISSSTE, Ciudad de México, Mexico. Electronic address:

INTRODUCCIóN: Gastric volvulus is characterized by a rotation, in its long or short axis, generating various degrees of obstruction, which can occur acutely or chronically.

Case: A 45-year-old female. Refers to the performance of laparoscopic Nissen fundoplication 4 years ago. Read More

Case Rep Surg 2020 9;2020:4141729. Epub 2020 Dec 9.

General Surgery, Moulay Ismail Military Hospital, Morocco.

The gastric volvulus is defined as an abnormal rotation of all or part of the stomach around one of its axes, creating the conditions of an upper abdominal obstruction with gastric dilation and risk of strangulation. It is a rare entity that requires a surgical treatment, and its diagnosis is often delayed due to frequently aspecific symptoms. We will describe the observation of a 62 year old patient who presented to the emergency department for acute epigastric pain with dyspnea. Read More

Front Vet Sci 2020 8;7:590615. Epub 2020 Dec 8.

Faculty of Veterinary and Agricultural Sciences, Melbourne Veterinary School, University of Melbourne, Werribee, VIC, Australia.

Euthanasia of companion animals in veterinary emergency medicine is a common cause of death. Euthanasia is economic when it is the consequence of the pet owner's inability to afford essential treatment while a viable medical alternative to euthanasia exists. Gastric dilatation-volvulus (GDV) is an acute life-threatening emergency condition of dogs; if left untreated, rapid death is highly likely. Read More

Int J Surg Case Rep 2021 Jan 5;78:110-115. Epub 2020 Dec 5.

Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA; Departments of Surgery, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA; Departments of Oncologic Sciences, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA. Electronic address:

Unrecognized intrathoracic gastric volvulus can be a life-threatening condition, especially in elderly individuals undergoing major surgical procedures. We herein report the first case of a gastric volvulus after a robot-assisted left upper lobectomy for non-small-cell lung cancer in a patient with a known paraesophageal hernia. The operative procedure was performed by Dr Jacques Fontaine a senior thoracic surgeon at Moffitt Cancer Center in Tampa Florida a major academic institution. Read More

J Am Vet Med Assoc 2021 Jan;258(1):72-79

Objective: To evaluate a staged technique of immediate decompressive and delayed surgical treatment for gastric dilatation-volvulus (GDV) in dogs.

Animals: 41 client-owned dogs with confirmed GDV from 2012 through 2016.

Procedures: Medical record data were collected regarding patient signalment, diagnostic test results, gastric lavage findings, surgical findings, and short-term survival status. Read More

Cureus 2020 Oct 24;12(10):e11123. Epub 2020 Oct 24.

General Surgery, Centro Hospitalar de Entre Douro e Vouga, Santa Maria da Feira, PRT.

Gastric volvulus is a rare but potentially life-threatening condition, with difficult diagnosis. We present a case report of a demented woman aged 65 years that attended the emergency department with epigastric pain and vomiting for the past 10 days. The chest plain revealed a retrocardiac air-filled mass and the abdomino-pelvic computed tomography confirmed the diagnosis of gastric volvulus. Read More

J Gastrointest Surg 2020 Nov 24. Epub 2020 Nov 24.

Department of Surgical Oncology, Gustave Roussy, 114, rue Edouard Vaillant, 94805, Villejuif, France.

Backgrounds: Multivisceral resection is the standard treatment for retroperitoneal sarcoma (RPS) during which pancreas resection may be necessary.

Methods: All consecutive patients operated for RPS with pancreatectomy in 2 expert centers between 1993 and 2018 were retrospectively analyzed.

Results: Fifty patients (median age: 57 years, IQR: [46-65]) with a primary (n = 33) or recurrent (n = 17) RPS underwent surgery requiring pancreas resection (distal pancreatectomy (DP) (n = 43), pancreaticoduodenectomy (PD) (n = 5), central pancreatectomy (n = 1), and atypical resection (n = 1)). Read More

Clin Imaging 2021 Apr 6;72:97-113. Epub 2020 Nov 6.

Department of Imaging Sciences, University of Rochester, Imaging Sciences, 601 Elmwood Avenue, Rochester 14642, NY, USA. Electronic address:

The stomach is one of the most frequently imaged organs in the body with dedicated and incidental inclusion in chest imaging modalities. Gastric emergencies often present clinically with non-specific abdominal, nausea, and vomiting. As such, imaging plays a critical role in early identification and treatment of a myriad of gastric emergencies. Read More