Endoscopic Management of Gastric Volvulus in an Elderly Patient With Multiple Comorbidities: A Case Report

Gastric volvulus is a rare condition whose incidence remains largely unknown. Unless actively considered by healthcare providers, the diagnosis of gastric volvulus, which can lead to significant morbidity and mortality, may be overlooked. This condition can manifest in either acute or chronic forms,...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 7; p. e63799
Main Authors Akiki, Laura, Kawtharani, Abed AlRaouf, Abou Rached, Antoine, Semaan, Antoine, Geagea, Antoine S, Abi Abboud, Antoine
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 04.07.2024
Cureus
Subjects
Abdomen
Cardiovascular disease
Case reports
Comorbidity
Endoscopy
Gastroenterology
Geriatrics
Hiatal hernias
Internal Medicine
Ischemia
Laparoscopy
Medical imaging
Older people
Ostomy
Pain
Pathophysiology
Patients
Stomach
gastroscopy
derotation
elderly
gastric volvulus
borchardt’s triad
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Abstract Gastric volvulus is a rare condition whose incidence remains largely unknown. Unless actively considered by healthcare providers, the diagnosis of gastric volvulus, which can lead to significant morbidity and mortality, may be overlooked. This condition can manifest in either acute or chronic forms, presenting with diverse symptoms. Notably, the presence of a hiatal hernia alongside persistent vomiting despite initial antiemetic therapy should raise suspicion for gastric volvulus, even if the patient appears clinically stable. Acute gastric volvulus is usually managed surgically. Here, we describe the case of an elderly male who was diagnosed with acute gastric volvulus and was treated conservatively with endoscopy.
AbstractList Gastric volvulus is a rare condition whose incidence remains largely unknown. Unless actively considered by healthcare providers, the diagnosis of gastric volvulus, which can lead to significant morbidity and mortality, may be overlooked. This condition can manifest in either acute or chronic forms, presenting with diverse symptoms. Notably, the presence of a hiatal hernia alongside persistent vomiting despite initial antiemetic therapy should raise suspicion for gastric volvulus, even if the patient appears clinically stable. Acute gastric volvulus is usually managed surgically. Here, we describe the case of an elderly male who was diagnosed with acute gastric volvulus and was treated conservatively with endoscopy.Gastric volvulus is a rare condition whose incidence remains largely unknown. Unless actively considered by healthcare providers, the diagnosis of gastric volvulus, which can lead to significant morbidity and mortality, may be overlooked. This condition can manifest in either acute or chronic forms, presenting with diverse symptoms. Notably, the presence of a hiatal hernia alongside persistent vomiting despite initial antiemetic therapy should raise suspicion for gastric volvulus, even if the patient appears clinically stable. Acute gastric volvulus is usually managed surgically. Here, we describe the case of an elderly male who was diagnosed with acute gastric volvulus and was treated conservatively with endoscopy.
Gastric volvulus is a rare condition whose incidence remains largely unknown. Unless actively considered by healthcare providers, the diagnosis of gastric volvulus, which can lead to significant morbidity and mortality, may be overlooked. This condition can manifest in either acute or chronic forms, presenting with diverse symptoms. Notably, the presence of a hiatal hernia alongside persistent vomiting despite initial antiemetic therapy should raise suspicion for gastric volvulus, even if the patient appears clinically stable. Acute gastric volvulus is usually managed surgically. Here, we describe the case of an elderly male who was diagnosed with acute gastric volvulus and was treated conservatively with endoscopy.
Author Geagea, Antoine S
Abi Abboud, Antoine
Kawtharani, Abed AlRaouf
Abou Rached, Antoine
Semaan, Antoine
Akiki, Laura
AuthorAffiliation 4 Gastroenterology and Hepatology, Lebanese Hospital Geitaoui University Medical Center, Beirut, LBN
2 Internal Medicine - Gastroenetrology, Faculty of Medicine, Lebanese University, Beirut, LBN
3 Anesthesia, Faculty of Medicine, Lebanese University, Beirut, LBN
1 Gastroenterology and Hepatology, Faculty of Medicine, Lebanese University, Beirut, LBN
5 Gastroenterology and Hepatology, Lebanese University, Beirut, LBN
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ContentType Journal Article
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Keywords gastroscopy
derotation
elderly
gastric volvulus
borchardt’s triad
Language English
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SubjectTerms Abdomen
Cardiovascular disease
Case reports
Comorbidity
Endoscopy
Gastroenterology
Geriatrics
Hiatal hernias
Internal Medicine
Ischemia
Laparoscopy
Medical imaging
Older people
Ostomy
Pain
Pathophysiology
Patients
Stomach
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Title Endoscopic Management of Gastric Volvulus in an Elderly Patient With Multiple Comorbidities: A Case Report
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