Gastric Volvulus: Causes, Symptoms, and Treatment Options

Q: Gastric Volvulus: Causes, Symptoms, and Treatment Options

Hello Siyou： Based on the description above, functional gastrointestinal disorders (including non-ulcer dyspepsia, gastroparesis, irritable bowel syndrome, etc.) are possible causes. <br>Of course, it is essential to first confirm whether any ulcers have healed. <br>If it is a fu

Gastric volvulus

Hello, doctor.
I have been prone to anxiety since childhood, and whenever I face significant exams, my stomach starts to hurt.
Two years ago, while preparing for the advanced technician exam, I developed a stomach ulcer, possibly due to the intense exam pressure.
Although follow-up examinations showed that it had healed, I still experience ongoing discomfort (stomach pain, nausea, and poor sleep every night).
This year, during a stomach X-ray, I discovered that my stomach is folded.
Although the doctor prescribed medication for me, it doesn't seem to help much.
I would like to know if this condition can be treated effectively.

Siyou, 20~29 year old female. Ask Date: 2005/12/08

Dr. Li Zhengqi reply Gastroenterology and Hepatology

Hello Siyou: Based on the description above, functional gastrointestinal disorders (including non-ulcer dyspepsia, gastroparesis, irritable bowel syndrome, etc.) are possible causes.
Of course, it is essential to first confirm whether any ulcers have healed.
If it is a functional disorder, it can be influenced by stress, anxiety, pressure, diet, and lifestyle.
Clinically, it tends to recur easily.
Medication is only part of the treatment; it must be combined with addressing the underlying causes to achieve better results.
Wishing you health and happiness.
Li Zhengqi, Changhua Hospital, Department of Health.

Reply Date: 2005/12/08

More Info

Gastric volvulus is a condition where the stomach twists upon itself, leading to obstruction and potentially compromising blood flow to the stomach. This can result in severe abdominal pain, nausea, vomiting, and in some cases, can be life-threatening if not treated promptly. Understanding the causes, symptoms, and treatment options for gastric volvulus is crucial for managing this condition effectively.

Causes of Gastric Volvulus
Gastric volvulus can occur due to various factors, including:
1. Anatomical Abnormalities: Some individuals may have anatomical predispositions, such as a hiatal hernia or laxity of the ligaments that support the stomach, making it more susceptible to twisting.

2. Previous Surgery: Surgical interventions in the abdominal area can alter the normal anatomy and lead to conditions that favor volvulus.

3. Age: Older adults are more prone to gastric volvulus due to age-related changes in the abdominal cavity and the supporting structures of the stomach.

4. Trauma: Physical trauma to the abdomen can also lead to volvulus.

5. Chronic Conditions: Conditions that cause chronic distension of the stomach, such as gastroparesis, can contribute to the risk of volvulus.

Symptoms of Gastric Volvulus
The symptoms of gastric volvulus can vary but often include:
- Severe Abdominal Pain: This is typically sudden and severe, often described as crampy or colicky.

- Nausea and Vomiting: Patients may experience persistent nausea and may vomit, which can sometimes contain bile.

- Inability to Pass Gas or Stool: This can indicate a complete obstruction.

- Bloating: The abdomen may appear distended due to trapped gas and fluid.

- Signs of Shock: In severe cases, patients may exhibit signs of shock, such as rapid heartbeat, low blood pressure, and confusion.

Diagnosis
Diagnosis of gastric volvulus typically involves imaging studies. An upper gastrointestinal series (X-ray) can reveal the twisting of the stomach, while CT scans may provide more detailed information about the anatomy and any associated complications.

Treatment Options
The treatment for gastric volvulus often depends on the severity of the condition and the presence of any complications:
1. Immediate Care: In cases of acute volvulus, emergency treatment is necessary. This may involve decompressing the stomach through a nasogastric tube to relieve pressure and prevent further complications.

2. Surgical Intervention: Surgery is often required to untwist the stomach and secure it in its proper position. This may involve procedures such as gastropexy, where the stomach is anchored to the abdominal wall to prevent recurrence.

3. Medications: While medications may help manage symptoms, they are not a definitive treatment for volvulus. Proton pump inhibitors or antacids may be prescribed to manage gastric acid and reduce discomfort.

4. Lifestyle Modifications: For individuals with a history of stress-related gastric issues, addressing anxiety and stress through counseling, relaxation techniques, or medications may help alleviate symptoms.

Prognosis
The prognosis for gastric volvulus largely depends on the promptness of diagnosis and treatment. If treated early, most patients can recover fully. However, delayed treatment can lead to serious complications, including necrosis of the stomach tissue, which can be life-threatening.

Conclusion
In your case, it is essential to follow up with your healthcare provider regarding your symptoms and the findings from your X-ray. If you are experiencing persistent discomfort despite medication, further evaluation may be necessary to determine the best course of action. This could include surgical consultation if volvulus is confirmed or if your symptoms suggest a significant obstruction. Additionally, addressing any underlying anxiety or stress may also be beneficial in managing your gastrointestinal symptoms. Always consult with a gastroenterologist or a surgeon who specializes in gastrointestinal disorders for tailored advice and treatment options.

Similar Q&A

Understanding Gastrointestinal Issues: Diarrhea and Stomach Distension

Since Monday, I have been experiencing diarrhea and a constant urge to use the bathroom, but when I actually get to the toilet, I can only pass small, fragmented stools. This cycle has continued, and aside from the sudden abdominal pain that prompts the urge to go, I haven't...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The likelihood of experiencing gastric torsion in a clinical setting is quite low, and your symptoms do not align with it. Typically, gastric torsion leads to obstruction, not just bloating. Instead, the probability of poor gastric emptying is higher. It is recommended to ...

Understanding Acid Reflux: Causes, Treatments, and Surgical Options

Hello Doctor: I have been troubled by gastroesophageal reflux disease (GERD). Two months ago, I underwent an upper gastrointestinal endoscopy, which revealed a sliding hiatal hernia and mild inflammation at the pylorus. A biopsy was performed, and the results showed no Helicobact...

Dr. You Ligang reply Gastroenterology and Hepatology
Hello, 1. Since I started experiencing symptoms during this year's Lunar New Year, and I have never had such issues before, I would like to know if surgical treatment can lead to a complete recovery. Laparoscopic surgery is performed by a surgeon using a laparoscope to rep...

Understanding Post-Surgery Abdominal Distension: Causes and Solutions

Hello, Dr. Lin. A year ago, I underwent surgery for intestinal volvulus due to severe abdominal pain (there was no visible bloating). After the surgery, the doctor informed me that the cause was volvulus, and my mother, who was in the operating room, said that two segments of my ...

Dr. Lin Hongmao reply Surgery
Hello: The following information is extracted from the website of the Department of Colorectal Surgery at Tri-Service General Hospital, and it is quite detailed for your reference: Volvulus refers to the twisting of an organ around its axis, which can occur in the stomach, spleen...

Understanding Duodenal Deformity: Causes, Symptoms, and Treatment Options

I had a second gastroscopy two days ago, and it was found that my duodenum is deformed (I had a duodenal ulcer two years ago). What treatment options are available? P.S. During my first gastroscopy two years ago, it was noted that the opening below my esophagus was too large, whi...

Dr. Yuan Hongdao reply Gastroenterology and Hepatology
Hello, after the healing of a duodenal ulcer, scarring may occur, which can lead to deformity. However, if it does not cause duodenal obstruction, no specific treatment is necessary. It is important to maintain good habits, such as avoiding smoking, not taking painkillers, and ma...