Idiopathic Acute Gastric Dilatation with Ischemic Necrosis.
- Author:
Tae Hoon LEE
1
;
Jae Baek LEE
;
Du Hyun YANG
Author Information
1. Department of Surgery, Medical School, Chonbuk National University, Korea. baeklee@moak.chonbuk.ac.kr
- Publication Type:Original Article
- Keywords:
Acute gastric dilatation;
Ischemic necrosis;
Total gastrectomy
- MeSH:
Adult;
Anorexia Nervosa;
Anoxia;
Female;
Gastrectomy;
Gastric Dilatation*;
Gastroparesis;
Hematoma;
Humans;
Hyperphagia;
Necrosis*;
Stomach
- From:Journal of the Korean Society of Emergency Medicine
2001;12(4):546-550
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute gastric dilatation without obstructive or organic disease is rare, but is possible after a gastric or an abdominal operation in cases of trauma, retroperitoneal hematoma, diabetic gastroparesis, hypoxemia, electrolyte imbalance, etc. However ischemic necrosis due to acute gastric dilatation is very rare and has been reported only in patients who has anorexia nervosa or overeat suddenly. If the distended stomach is not decompressed successfully by using a conservative method or if the process proceeds to ischemic necrosis, operative treatment is necessary. We experienced a case in which the stomach was acutely distended, and mutiple ischemic necroses had developed. The patient was a 27-year-old woman and had no specific underlying disease in her medical history. After overeating, the stomach was distended acutely. During the operation, mutiple ischemic necroses were found in the stomach. A total gastrectomy and Roux-en-Y esophagojejunostomy were performed.
