Open AccessAcute gastric volvulus: Late-onset ischemic consequences and their management
Author(s) -
Kshama Vasudev Kulkarni,
Sudipta Sen,
Sampath Karl,
VR Ravikumar
Publication year - 2011
Publication title -
journal of indian association of pediatric surgeons
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 17
eISSN - 1998-3891
pISSN - 0971-9261
DOI - 10.4103/0971-9261.86875
Subject(s) - medicine , stomach , volvulus , gastrostomy , perforation , jejunostomy , esophagus , surgery , gastric volvulus , gastropexy , pouch , gastric outlet obstruction , gastroenterology , parenteral nutrition , materials science , punching , metallurgy
We report three infants who presented with acute gastric volvulus and recovered initially after de-torsion, but later presented with sequelae due to ischemia of gastroesophageal junction, stomach and gastroduodenal junction. The first two infants could not be fed orally or by gastrostomy tube because of microgastria and stricture of the lower esophagus and gastroduodenal junction, and were managed on jejunostomy feeds, while the third child was managed on gastrostomy feeds till the gastric substitution surgery. The first case was treated nonsurgically with repeated dilatations, but ultimately succumbed to sepsis and malnutrition. In the second child, attempted dilatation resulted in esophageal perforation and she was reconstructed using ileocecal segment as a substitute for stomach and lower esophagus, and has done well. The third child was managed surgically by the Hunt Lawrence J pouch as stomach substitute and has also done well.