| CASE REPORT |
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| Year : 2011 | Volume
: 16
| Issue : 4 | Page : 148-151 |
Acute gastric volvulus: Late-onset ischemic consequences and their management
Kshama Vasudev Kulkarni1, Sudipta Sen1, Sampath Karl1, VR Ravikumar2
1 Department of Paediatric Surgery, Christian Medical College, Vellore, Tamilnadu, India
2 Department of Paediatric Surgery, G. Kuppuswamy Memorial Hospital, Coimbatore, India
Correspondence Address:
Kshama Vasudev Kulkarni
Department of Paediatric Surgery, Christian Medical College, Vellore, Tamilnadu - 632 004
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9261.86875
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.
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