González González J J, Gómez Alvarez G, Alvarez Pérez J A, Navarrete Guijosa F, Trelles Martín A, Aza González J
Rev Esp Enferm Apar Dig. 1989 Jan;75(1):59-62.
A case is presented of acute gastric volvulus associated with paraesophageal hernia. Gastric volvulus is an infrequent clinical entity that generally appears in chronic form secondary to diaphragmatic pathology. Pathogenesis rests on two factors, relaxation of the supporting ligaments and neighboring associated pathology that acts to trigger gastric distension. Early diagnosis and treatment of acute forms and prophylactic surgery of chronic forms would lead to practically null mortality figures. The surgical technique, aside from devolvulation, includes hiatal repair in cases associated with paraesophageal hernia, gastropexy being sufficient for other forms.
本文报告一例与食管旁疝相关的急性胃扭转病例。胃扭转是一种罕见的临床病症，通常以继发于膈肌病变的慢性形式出现。其发病机制基于两个因素，即支撑韧带的松弛和引发胃扩张的邻近相关病变。急性形式的早期诊断和治疗以及慢性形式的预防性手术将使死亡率几乎为零。手术技术除了包括胃复位外，对于与食管旁疝相关的病例还包括裂孔修复，而对于其他形式，胃固定术就足够了。
