Le Blanc I, Scotte M, Michot F, Tenière P
Service de Chirurgie Digestive et Générale, Hôtel-Dieu, Rouen.
Ann Chir. 1991;45(1):42-5.
Gastric volvulus is not a rare condition and 350 authentic cases have been documented in the adult population. Most often, gastric volvulus was associated with a large paraoesophageal hernia (40%). We report seven new cases of gastric volvulus: 5 were due to a large paraoesophageal hernia, 1 to mixed hiatus hernia, and 1 to a sliding hiatus hernia. We did not observe any cases of acute strangulation with gastric necrosis. The lesions were reversible in the three cases of acute and four cases of chronic gastric volvulus. Surgical treatment included gastric volvulus reduction and repair of hiatus hernia without gastric resection. Surgical treatment of paraoesophageal hiatus hernia is mandatory to reduce the incidence of gastric volvulus. The possibility of gastric volvulus with hiatus hernia must be recognized.
胃扭转并非罕见病症，成人中已有350例确诊病例记录在案。胃扭转最常与巨大食管旁疝相关（40%）。我们报告了7例胃扭转新病例：5例由巨大食管旁疝引起，1例由混合型食管裂孔疝引起，1例由滑动型食管裂孔疝引起。我们未观察到任何急性绞窄伴胃坏死的病例。在3例急性和4例慢性胃扭转病例中，病变是可逆的。手术治疗包括胃扭转复位和食管裂孔疝修补，无需进行胃切除术。必须对食管旁裂孔疝进行手术治疗，以降低胃扭转的发生率。必须认识到存在食管裂孔疝伴胃扭转的可能性。
