A gastric volvulus refers to mechanical issue of the stomach. It is a condition where the body of the stomach becomes completely twisted.
WHY IS IT A PROBLEM?
Twisting of the stomach in this fashion will not only impede the flow of food/drink thought the GI tract, but can also cause ischemia to the stomach. An acute gastric volvulus is an emergency.
WHAT MAKES US SUSPECT IT?
Hiatal hernia, diaphragmatic hernia
- Epigastric pain
- Bowel sounds: are often present due to the acute nature of this condition. Only after the condition has persisted for a long time will they become decreased/absent.
Inability to pass nasogastric tube: this should trigger one to consider the possibility of a gastric volvulus.
Borchardt’s triad refers to symptoms characteristic of gastric volvulus:
- Sudden onset of severe upper abdominal pain,
- Recurrent retching with production of little vomitus
- Inability to pass a nasogastric tube
Page Updated: 11.18.2016