ON VOLVULUS OF THE STOMACH Takehiko Kanai 1 1Dept. of Internal Med. School of Medicne, Juntendo University pp.731-742
Published Date 1969/6/25
DOI https://doi.org/10.11477/mf.1403111124
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 Volvulus of the stomach, considered in the past as of rare occurrence, is now far oftener encountered with popularization of x-ray study and gastric mass survey. In addition to 225 such cases studies in this country in 1962 by Yamagata, another 182 cases since then reported in 80 papers, together with 20 cases personally encountered, are studied in this paper as to its frequency, classification, etiology, symptoms, as well as its diagnosis, complications, treatment and prognosis.

 It took 48 long years from 1912 to 1960 for Yamagata to collect 225 cases of gastric volvulus, while as many as 182 such cases have been reported in a comparatively short space of 8 years thereaften Its increase in incidence is really remarkable. Most of cases are chronic and of short axis rotation. The etiology of gastric volvulus is classified, in the order of its frequency, into four types: idiopathic, diaphragmatic, one caused by adjacent organs and the last by diseases of the stomach itself. Symptoms, treatment and prognosis vary according to whether it is acute or chronic as well as to the degree of axis rotation. Its diagnosis is clone with ease by x-ray examination, except in cases in which symptoms are so severe that patients can not stand it.

 Discrimination from other diseases then becomes necessary. Acute axis rotation constitutes an absolute indication for emergency operation. Surgical procedure is also sometimes needed in asymptomatic chronic case depending on its etiology.

 Marked decrease in mortality at and after operation of gastric volvulus; a rapid growing number of its reports: these two facts call attention to itself as compared with its former reports.

Copyright © 1969, Igaku-Shoin Ltd. All rights reserved.


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