Makale1

Gastric volvulus and wandering spleen.
Yazar : Uc A; Kao SC; Sanders KD; Lawrence J
Adres : Department of Pediatrics, University of Iowa College of Medicine, Iowa City, USA.
Kaynak : Am J Gastroenterol, 1998 Jul, 93:7, 1146-8

Özet : Although rare in childhood, gastric volvulus and wandering spleen share a common etiology: congenital absence of intraperitoneal visceral attachments. We report an unusual case of a patient who presented with three episodes of intractable vomiting and abdominal mass but no abdominal pain. A diagnosis could not be made until the third episode because the gastric volvulus resolved each time on placement of a nasogastric (NG) tube before any further tests could be done. During the third episode, diagnostic imaging was performed before inserting an NG tube, and the diagnosis of a mesenteroaxial gastric volvulus and an abnormally positioned spleen was made. Although both conditions are caused by abnormalities of fixation, the association of gastric volvulus and wandering spleen has been reported only once before.

Makale 2

Laparoscopic gastropexy for acute gastric volvulus: a case report.
Yazar : Odaka A; Shimomura K; Fujioka M; Inokuma S; Takada S; Yamada H; Ishida H; Murata N; Idezuki Y
Adres : Department of Surgery, Saitama Medical Center, Saitama Medical School, Kawagoe, Japan.
Kaynak : J Pediatr Surg, 1999 Mar, 34:3, 477-8

Özet : A 7-year-old girl presented with an acute gastric volvulus that was reduced with a nasogastric catheter. An anterior gastropexy was undertaken laparoscopically. The gastrocolic omentum was deficient along most of the greater curvature, which had allowed organoaxial volvulus. Two years later, gastric volvulus has not recurred. Laparoscopy is an acceptable approach for the evaluation and treatment of children with acute gastric volvulus.
  

Makale 3

Prophylactic gastropexy in the asplenia syndrome.
Yazar : Okoye BO; Bailey DM; Cusick EL; Spicer RD
Adres : Department of Paediatric Surgery, Bristol Royal Hospital for Sick Children, UK.
Kaynak : Pediatr Surg Int, 1997, 12:1, 28-9

Özet : The asplenia [Ivemark] syndrome (AS) is the association of congenital absence of the spleen with a variety of visceral abnormalities, predominantly of the cardiovascular system. Varying degrees of malrotation and malfixation of the bowel are common in this condition, and the occurrence of catastrophic gastric volvulus due to malfixation of the bowel has been reported. With the improvement in long-term outlook for these patients with modern cardiac surgery and prophylactic antibiotics, the intra-abdominal anomalies have become increasingly significant. This paper draws attention to the prophylactic treatment of gastric malfixation in the AS through the presentation of two cases in which gastropexy was performed.

 
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