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KMID : 0377220000250020097
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Medical Journal of Chosun Univercity
2000 Volume.25 No. 2 p.97 ~ p.101
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A Case of Mesenteric Type-Gastic Volvulus
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Kim Young-Nam
Kim Eun-Hwa
Choi Young-Woo
Lee Yong-Woong
Park Chan-Kuk
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Abstract
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Gastric volvulus is a rare disorder of stomach, in which stomach twists upon itself. This condition has two types(organoaxial and mesenteroaxial) that can be classified according to axis of rotation, and organoaxial type is more common. Clinical features are suddenly severe abdominal pain in acute onset and nonspecific vague abdominal discomfort in chronic form. It can be diagnosed by barium study and endoscopy with clinical symptoms. The treatment of patients with gastric volvulus has endoscopic reduction or surgical correction of the underlying abdominal pathologic feature predisposing to volvulus formation. We recently experienced a case of chronic onset of gastric volvulus which was confirmed by endoscopy and barium enema. It was failed by endoscopic reduction and corrected completely by laparoscopic gastropexy.
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KEYWORD
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Gastric Volvulus, Mesenteric Type
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