Marra G A, Casalboni M, Magni E, Zaccaroni A
Divisione di Chirurgia Generale, Ospedale G. B. Morgagni-L. Pierantoni, Forlì.
Minerva Chir. 1993 Sep 15;48(17):925-9.
Gastric volvulus is an infrequent event and few clinical cases are an important experience. Diagnosis, both clinical and radiological, is not difficult if you think of gastric volvulus; abdomen X-ray is often sufficient to clear up diagnostic doubts. First diagnosis can be quickly confirmed by X-ray examination of digestive organs that provides us with further information: contemporaneous ulcerative of neoplastic lesions, characteristics of bowels whirling round. Endoscopic and manometric evaluation must be performed only in recurrent or chronic cases, when there's no symptom of clinical urgency. Authors describe their experience of three cases observed in the last ten years and underline the importance of deciding and performing the surgical treatment quickly to avoid serious complications, in all doubtful cases. It is important to carry out an operation compared to the pathogenesis of volvulus: generally gastropexy is sufficient while radical operations are executed only in cae of gastric necrosis or in the presence of gastric neoplasms or ulcerative lesions.
胃扭转是一种罕见的情况，少数临床病例是重要的经验。如果想到胃扭转，临床和影像学诊断并不困难；腹部X线检查通常足以消除诊断疑虑。首次诊断可通过对消化器官进行X线检查迅速确认，该检查能为我们提供更多信息：同时存在的肿瘤性病变溃疡、肠扭转的特征。仅在复发性或慢性病例且无临床紧急症状时，才必须进行内镜和测压评估。作者描述了过去十年中观察到的三例病例的经验，并强调在所有可疑病例中迅速决定并进行手术治疗以避免严重并发症的重要性。根据扭转的发病机制进行手术很重要：一般来说，胃固定术就足够了，而仅在胃坏死、存在胃肿瘤或溃疡性病变的情况下才进行根治性手术。
