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. 2010 Sep 7;16(33):4200-5.
doi: 10.3748/wjg.v16.i33.4200.

Conservative management of chronic gastric volvulus: 44 cases over 5 years

Yao-Chun Hsu  1 , Chin-Lin Perng, Chun-Ku Chen, Jai-Jen Tsai, Hwai-Jeng Lin
Affiliations

Conservative management of chronic gastric volvulus: 44 cases over 5 years

Yao-Chun Hsu et al. World J Gastroenterol. .

Abstract

Aim: To investigate clinical outcomes of patients with chronic gastric volvulus (GV) who were managed conservatively over a 5-year period.

Methods: A total of 44 consecutive patients with chronic GV, as diagnosed by barium study between October 2002 and July 2008 were investigated. All of these patients received conservative management initially without anatomical correction. Their clinical manifestations, diagnostic work-ups, and clinical outcomes were analyzed. We sought to identify independent risk factors for poor outcome by using the Cox proportional hazards model.

Results: The enrolled patients were predominantly male (n = 37, 84%) and of advanced age (median: 71 years old, interquartile range: 57.5-78 years). Abdominal pain and fullness were the most common presentations. During the follow-up period (median: 16 mo, up to 69 mo), there was no severe complication, but symptomatic recurrence was noted in 28 patients (64%). Only one patient turned to elective surgery for frequent symptoms. Peritoneal adhesion was the only independent risk factor associated with recurrence (hazard ratio: 2.58, 95% CI: 1.08-6.13, P = 0.033).

Conclusion: Symptomatic recurrence of chronic GV is very common although serious complications infrequently occur with conservative management. Peritoneal adhesion is independently associated with recurrence.

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Figures

Figure 1
Figure 1
Cumulative incidence of recurrence in 44 chronic gastric volvulus patients who were treated conservatively.
Figure 2
Figure 2
Peritoneal adhesion as a risk factor for symptom recurrence in patients with chronic gastric volvulus.
See this image and copyright information in PMC

References

    1. Dalgaard JB. Volvulus of the stomach case report and survey. Acta Chir Scand. 1952;103:131–153. - PubMed
    1. Singleton AC. Chronic gastric volvulus. Radiology. 1940;34:53–61.
    1. Wastell C, Ellis H. Volvulus of the stomach. A review with a report of 8 cases. Br J Surg. 1971;58:557–562. - PubMed
    1. Teague WJ, Ackroyd R, Watson DI, Devitt PG. Changing patterns in the management of gastric volvulus over 14 years. Br J Surg. 2000;87:358–361. - PubMed
    1. Palanivelu C, Rangarajan M, Shetty AR, Senthilkumar R. Laparoscopic suture gastropexy for gastric volvulus: a report of 14 cases. Surg Endosc. 2007;21:863–866. - PubMed

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