Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
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

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.


How to cite this article:
Kulkarni KV, Sen S, Karl S, Ravikumar V R. Acute gastric volvulus: Late-onset ischemic consequences and their management.J Indian Assoc Pediatr Surg 2011;16:148-151


How to cite this URL:
Kulkarni KV, Sen S, Karl S, Ravikumar V R. Acute gastric volvulus: Late-onset ischemic consequences and their management. J Indian Assoc Pediatr Surg [serial online] 2011 [cited 2020 Aug 14 ];16:148-151
Available from: http://www.jiaps.com/article.asp?issn=0971-9261;year=2011;volume=16;issue=4;spage=148;epage=151;aulast=Kulkarni;type=0