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dc.contributor.authorTeague, W.-
dc.contributor.authorAckroyd, R.-
dc.contributor.authorWatson, D.-
dc.contributor.authorDevitt, P.-
dc.identifier.citationBritish Journal of Surgery, 2000; 87(3):358-361-
dc.description.abstract<h4>Background</h4>Gastric volvulus is an uncommon condition, which can be difficult to diagnose and treat. This study represents a large series of patients with the condition.<h4>Methods</h4>All patients presenting with gastric volvulus over a 14-year period were reviewed.<h4>Results</h4>Some 36 patients (median age 75 years) were identified. Volvulus, usually secondary to a hiatus hernia, presented acutely in 29 patients. The major symptoms were abdominal pain, vomiting and upper gastrointestinal haemorrhage. The most useful investigations were barium contrast studies and upper gastrointestinal endoscopy, which were helpful in 21 of 25 and 11 of 18 patients respectively. Treatment was conservative in five patients, by open surgery in 13 and laparoscopic repair in 18 (three converted to open operation). There were no major complications and no deaths. Median hospital stay was shorter in patients treated by laparoscopic rather than open surgery (6 (range 4-36) versus 14 (7-50) days; P < 0.05).<h4>Conclusion</h4>Acute and chronic gastric volvulus can be treated successfully by either open or laparoscopic surgery. However, laparoscopic surgery now represents a safe and acceptable approach, with minimal morbidity and a significantly shorter hospital stay. This is likely to be of considerable benefit for the treatment of a predominantly elderly population, often with significant co-morbidity.-
dc.publisherJohn Wiley & Sons Ltd-
dc.subjectStomach Volvulus-
dc.subjectBarium Sulfate-
dc.subjectContrast Media-
dc.subjectLength of Stay-
dc.subjectDigestive System Surgical Procedures-
dc.subjectAged, 80 and over-
dc.subjectMiddle Aged-
dc.titleChanging patterns in the management of gastric volvulus over 14 years-
dc.typeJournal article-
dc.identifier.orcidTeague, W. [0000-0003-4747-6025]-
Appears in Collections:Aurora harvest 2
Surgery publications

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