Objectives: This prospective study aimed to illustrate clinical presentation
of cases of gastric volvulus and applied management with its short-term
outcome.
Patients & Methods: The study included 7 patients; 3 males and 4 females
with mean age of 55.9+6.6 years. Two patients presented by acute severe
epigastric pain with vomiting and intolerance to oral feeding, and
underwent laparotomy after investigations. Five patients presented by
recurrent epigastric pain with vomiting in three and retching in two
patients. Three patients presented by an acute pain attack on top of the
recurrent pain. Three patients had previous history of medical treatment
for similar attacks; these five cases were fully investigated and diagnosed
as chronic gastric volvulus and underwent laparoscopic repair.
Results: Laparotomy required non-significantly shorter operative
time than laparoscopic approach. However, time till 1st oral intake, till 1
ambulation and postoperative (PO) hospital stay were significantly longer
with laparotomy compared to laparoscopy Immediate PO, one patient
had laparotomy developed wound infection that was managed
conservatively. Throughout a mean follow-up period of 27.6+8.1; range:
12-36 months, one patient had recurrent hiatus hernia at 24 months PO
and underwent open repair of her hernia without recurrence once again. |
