This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Stomach volvulus

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Gastric volvulus - the torsion of the stomach - may be mesenteroaxial, i.e. vertically-disposed, or organoaxial, i.e. horizontally. Most commonly, the colon shifts upwards under the diaphragm, often into an hiatal defect, and takes the stomach with it.

Clinically, it usually presents with nausea, vomiting, and retching, and it is noted on investigation that a nasogastric tube will not pass into the stomach. A chronic form may present more insidiously. Diagnosis is made by barium enema.

Emergency surgery is required if spontaneous reduction does not occur rapidly. The concern is that ischaemia will lead to gangrene and perforation. The greater curve of the stomach is freed from its colonic attachment. The risk of recurrence may be minimised by fixing the stomach, e.g. to the duodenojejunal flexure.


Related pages

Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page