860 Ghosh,Eastwood,Palmer A4'.~ ' j~~~~~j Figure2: Gastrograffin mealshowingthepercutaneous endoscopicgastrostomy balloon (arrowed)withinthestomachandcontrastin the smallintestine, excludingmechanical obstruction. 0000000769 00000 n Acute gastric dilatation was documented in 67 (27%) patients by review of all admission roentgenograms. 0000000015 00000 n gastric emptying study or saline load NG study, upper GI series ; 3 Gastric outlet obstruction. She was discharged without other severe complications. ��/���T�=MՇq�įb��c(̼ߜP+�H*֍ҕ��Y�6"��DC�G� A�S�� Z4�ph�sH9`�1%r�U�������Ζz�֟��\$�0�y�ʤ��ΠH� �E"\p��~f*]�pO��ϲ΍:�ޕn�I��ʊS���'�kݨ2$��Se_�Qͻj�柼Xv)�f�����m����"����M��c�w�W� {�� 44 0 R 39 0 obj 26 0 obj Acute gastric dilation is a rare, emergency condition of the gastrointestinal tract. The word bloat is often used as a general term to mean gas distension without stomach torsion (a normal change after eating), or to refer to GDV. /E 11001 <> Gastric Dilatation-Volvulus (GDV) is a rapidly progressive life-threatening condition of dogs. 25 22 The Marília Medical School of Brazil offers new technological resources to its medical students. It may be performed at any time, but is often recommended at spay or neutering. startxref 39 0 R <> /N 5 Method: A 24‐year‐old woman, who had a history of bulimia and vomiting episodes, was transferred in shock with marked abdominal distension. Gynecol Oncol 2003;90:200–3. Hypotension and cardiac rhythm disturbances resolved with intravenous injection of atropine, but recurred a few minutes later and required a second bolus of atropine, which had a transient beneficial effect. <> 0000004545 00000 n endstream In cases of acute gastric dilatation the progression of symptoms is rapid and prompt relief is necessary. Acute gastric dilatation is a surgical emergency. /Type/Page Acute gastric dilatation was first reported in eight macaques in 1967 [2]. Acute gastric dilatation was documented in 67 (27%) patients by review of all admission roentgenograms. Including these a total of 10 cases of feline AGD have been reported. 0 She had a history of bulimia and a binge eating disorder. 40 0 obj 142 In conclusion, in the presence of a diaphragmatic hernia, acute gastric dilatation may cause respiratory failure and hemodynamic collapse, not only in neonates, but also in the elderly. /L 114753 0000008461 00000 n Acute gastric dilatation (AGD) is an uncommon entity with various aetiologies seen in individuals of all ages [1, 2].Non-obstructive causes include anorexia nervosa, bulimia, electrolyte abnormalities, trauma, diabetes and acute infections [].Salmonella infection, diabetes and hypokalaemia most likely contributed to this patient's AGD. The degree of gastric dilatation is less and the lung fields have cleared. <> /Thumb 16 0 R associated with acute gastric dilatation had histories of extensive recent weight loss (15 to 32 kg when stated) and were hospitalised to attempt refeeding. GDV is an acute, life-threatening condition that primarily affects large- and giant-breed dogs, with a mortality rate of 20%–45% in treated animals. endobj 25 0 obj 42 0 R Acute gastric dilatation (AGD) is a very rare entity which can sometimes be life‐threatening. 0000006006 00000 n endobj endobj No breed or sex predilection was found among the cases. Subse- quently, there have been cases in both Old and New World monkeys [4, 7, … /T 114209 /ID[<6859992C70C610C95CADFD3CCAB1A8B0>] For females, the traditional spay incision can be extended and the gastropexy performed. Anabdominal radiograph showed mas- sivegastric dilatation(Fig 1). Kiran Kumar, Rifah Anwar Assadi, Mohammed Khalid, Mohammed Hamdy Ibrahim, Himanshi Singh, Sonia Lamichhane, Shaikh Altaf Basha. FIG. There were 38 orthopedic, 35 craniocerebral, 34 abdominal, 31 thoracic, 27 maxillofacial, and 14 spinal injuries. 32 0 obj Acute gastric dilatation is a rare surgical condition in children, which often results from blunt abdominal trauma. 40 0 R The mechanism of injury was motor vehicle accident in 45 (67%), agricultural accident in 8 (12%), fall in four (6%), bicycle accident in four (6%), and miscellaneous in six (9%). 8��0X2 �� � We report a case of gastric dilatation in a ventilated 18-year-old woman, which was revealed by the acute onset of hypotension, sinus bradycardia, and complete atrioventricular block. 0000005811 00000 n <>stream /Info 24 0 R %PDF-1.6 %���� 38 0 R trailer %%EOF Refractory cases endoscopic balloon dilatation, surgical management (truncal vagotomy gastrojejunostomy). 46 0 obj %%EOF Campanile, N. et al. Management issue Gastric Outlet Obstruction Initial management First and foremost is hydration and correction of electrolyte imbalances Sodium chloride solution ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3d7691-NGE2Y /Contents [37 0 R gastric dilatation without any evidence of coronary artery disease have been reported [8]. /Linearized 1.0 We report a rare case of massive gastric remnant dilation in a 45‐year‐old man after laparoscopic mini‐gastric bypass. In our case, a triad of clinical suspicion, laboratory profile, and emergency radiologic investigation were essential for early diagnosis and management. Treatment place NG (note residual), correct electrolytes, IVF, IV H2 blocker. H�\T=��0��W��I��#w7v*ڥ���U��d�e���D'q;�=:|�T�_�~N��P=��;�#�N�rfbz�zA�B'(�����ޮ�*�j�\�;B��A9|�*"_ʜl�� �������ݡ9��+�9#�(��X�}$삱����Ƶ��DzyzV��:E1\ �Y��>��[�$En�S^�)��lx��Je��οN��`��>�(s����B�8ڋW[t��]����1��R�3�������F4v��A�Bn�'b�*��]O��������\g��D�� �(���n���L������r���Q&;C��`9L��,*X�4�a�Ვ�p��I�-����ɪ .�U��^������[���^�>�~���͔2�{;�^���]T������ �SS|NJ��q��j�W]����R9�hE@w%^@�1����q���s/$+��+K�3 �z6ǀ���V��2�u&>��z�i��/��^�|њ6��� �0��S�@p⯲y\�eA���U���2��;B4 ������DV�{�"ryo7�z ���酮qWַX�3��;z����b����9�a%�T. endobj endobj 33 0 obj Acute gastric dilatation revisited. xref 35 0 obj X-ray of the chest taken in recovery after the second operation. << << endobj >> $��x��{*д=,zP$:&`K�(oп/i�y�'�XԘ�����:}Z��]���f[��!xJ�$p�����ah5"����V���v�'+�ʲV���n�mʪx�{4��D�)�u�*��m'��j���dQ��}k�M��+�N�0� �`�Ln�?X7�^�s�C���@Z'�_��ԛ��ao�ɿbn���� F:;���mD�8u1gTr���8�ȣ�߹p����i�\Z�ĔPƧ(g�h�k�2��B�������c����)�BtF��X��r�n�|/�%q /�4���=(K���&GpH��:�9)䔹����߇����毂3h�Ыa���Ds�!n,�>>�%��yJ���c���fNiI>��#7ɟ�A��ޡ��{ݚ���x���G�ν�G����U5/��l}�M�q�^�# ���,m�z��#����$%=��z����T���%γ��z}2��p�����m���#/�KS�-:�@7���JA켝��!�7��? stream Search the information of the editorial board members by name. endobj endobj /Resources 28 0 R Pandey R, Maqbool A, Jayachandran N. Medical Image: massive gastric dilatation secondary to binge episode in bulimia nervosa. Gastric dilatation volvulus (GDV), also known as gastric dilation, twisted stomach, or gastric torsion, is a medical condition that affects dogs in which the stomach becomes overstretched and rotated by excessive gas content. 38 0 obj endobj H�dS�r�0���T�$ɭu�I�ę���c� %V���}%��t8�=I�v���oA�!XG�J�8!�D_�Q�srI �d9�_�.K��'���`a�>@���3�������n2��$��h������^�ƍ�A�D���" �1Df(#$�_��JVˇ�����E��"pX���}'�����q�p�w#�v���� Acute volvulus: May advance rapidly to strangulation and perforation.Chronic gastric volvulus: More common in older childrenPresent with a history of Emesis, Abdominal pain, Early satiety. 101 0 obj <>/Encrypt 80 0 R/Filter/FlateDecode/ID[<80B9C22348C673B94DEEEEBD4F37443E><3388358F22F0C247954F1C8A9A024245>]/Index[79 38]/Info 78 0 R/Length 106/Prev 540742/Root 81 0 R/Size 117/Type/XRef/W[1 2 1]>>stream 0000001400 00000 n 0000007208 00000 n International Journal of Clinical Medicine Vol.6 No.6,June 17, 2015 . In … There were 51 (76%) males and 16 females. The condition is commonly associated with large meals and causes the stomach to dilate, because of food and gas, and may get to a point where neither may be expelled. 0 �4_� She made an uneventful recovery. 31 0 obj 116 0 obj <>stream Despite advances in understanding the pathogenesis and etiology of this condition, it still is an important cause of morbidity and mortality in both Old and … acute gastric dilatation with acute pancreatitis during the re-feeding phase in anorexia nervosa patients and described a possible mechanism between the two acute diseases (4-6). ���i�`�S6 endobj 28 0 obj ٨���M�6��j�E�����S���f�}��ڐS6R.U�a������(���H]�� 8#eE1+)��7;�3��{a�Nj�XRJ���p�(Kk�=���o�9����޻�Sji����ʋaj�� l7}+;�΍�7fn�4�������������(�9Ii��$ˋGB��r����+������0`�1`2�:�z�[i�K� y �y� K�ȏ�j��/M�&���c?���^7h��פ`�M3²�€��A�?�~� �jY�Q�I��e��Oa ���NT7���(O��ZY�I��Uàb�ug�Ng)^fpݰ�+�a�]��]�- �I/2*���Ω9����OY�h.`��G��obl�v#�� `�Q����J���ۀ�1�#Q~���O ه=� Nasogastric suction yielded over 1500 ml of Gastric dilation and volvulus (GDV) is an enlargement of the stomach associated with rotation on the mesenteric access. The gastric reservoir is well known for its rich vascular network which generally protects it from ischemia when significant gastric distension occurs, so gastric necrosis is a very rare event. Am Surg 2000;66:709–10. %PDF-1.3 <> DOI: 10.4236/ijcm.2015.66053 3,026 Downloads 3,559 Views f acute gastric dilatation in children was 44% vs. 25% for adults (p < 0.05). <> Gastric dilatation in nonhuman primates was first described by Chapman in 1967. %���� e�9Vk?�s~n�3��#�bĔ%3y�Zp}�+�s:�vm���(�%�˸䕴P��D��u�&�O���� H�dSˎ�0��+rt 29 0 obj /Parent 23 0 R However, there was not much information to assess the rela-tionship between the two diseases, such as serial serum h�bbd``b`f@�q��H�K )U�X��X�$��X�A�O !$��@\C �� $��A�� �� ��@B� H$�e`bd��e`���ϴ�3@� u_ Gastric necrosis associated with acute gastric dilatation and small bowel obstruction. H�̒�n�0��~ There were 51 (76%) males and 16 females. Gastric infarction as a complication of acute gastric dilatation is an unusual associated circumstance. endstream �O� 41 0 R A Meckel study was performed in a patient with melena who at the same time had a peritoneal catheter for dialysis because of renal failure. /ExtGState<> Acute gastric dilatation after porcine islet transplantation in a cynomolgus monkey - case history and review of the literature. Since the pathogenesis of the condition is poorly understood, however, treatment is still empirical. 0000003279 00000 n The disease is considered rare. The most effective measure is to intubate the stomach and to remove the accumulated secretions and gases by continuous suction. endobj endobj /Rotate 0 Xenotransplantation 14 , 265–270 (2007). endobj /H [ 838 245 ] 0000010409 00000 n /MediaBox[0 0 612 792] Acute gastric dilatation (AGD) is a well-known, acute, life-threatening disease in dogs but its feline counterpart is much less known. Gastric Dilatation/Torsion. 37 0 obj <> endstream endobj startxref 0000004742 00000 n ] endstream 0000001063 00000 n FAMEMA faculty point to Prognosis: Your Diagnosis as their preferred clinical skills development app for students in their program’s Adult Health II and Maternal-Infant II stages. Article 0000006075 00000 n 0000002467 00000 n 30 0 obj >> 79 0 obj <> endobj >> <> 45 0 obj 0000009775 00000 n endobj 4. Todd SR, Marshall GT, Tyroch AH. >> 0000006692 00000 n distended upper abdomen with succussion splash. 43 0 R endstream 41 0 obj /O 27 27 0 obj <> x�c```"7�4A��1��5�I�'��`Kk8Q��xa"O�����q'd��IT�\����\a_�����{E�9�&l��``\��YA��\@�,#���c&H� Most patients are middle-aged to older, and incidence of GDV increases with incre… Acute Idiopathic Gastric Dilatation With Gastric Necrosis in Individuals With Prader-Willi Syndrome Robert H. Wharton,1* Timothy Wang,2 Fiona Graeme-Cook,3 Susan Briggs,4 and Robert E. Cole5 1Department of Pediatrics, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 2Department of Gastroenterology, Massachusetts General Hospital, Harvard Medical … of acute gastric dilatation in nonhuman primates are reviewed and compared to the condition in 2 1 monkeys necropsied at a university medical facility. /Size 47 Large and deep-chested dog breeds are considered to be the most at risk for GDV, including the German shepherd, Great Dane, standard poodle, Saint Bernard, Doberman pinscher, Irish setter, and Weimaraner.1 Even medium- and small-breed dogs with a deep chest conformation, including shar-peis, basset hounds, and cocker spaniels, can develop GDV. … In dog breeds with a high incidence of acute gastric dilatation-volvulus syndrome one may wish to consider a prophylactic gastropexy procedure. 34 0 obj endobj Gastric perforation caused by acute gastric dilatation is an extremely uncommon complication. 6\�|jTݵ�✌��q�;��� � i�J�i��P��i� �O��]�)*��� Until 1980, 300 cases of gastric volvulus had been reported in the literature. endstream <> 1/2 will respond to this regimen. 0000007843 00000 n Of these only 50 had presented in children. H�t�]o�0���+| �0�w|9J�v�4�H\�^x�K�&1JL����8 �eʅϱ�����Ib�!�=����^A���@1x����|�E��Fqc"�"�A1��d��SF�h�F����K��o>J�h?������!���أr��B�V�k.�Ҕ�)gl�qŰ�9}��3�Yz�:klk�Pg��un�M~Re�Y�g�r��v�,�t�E2�~�yc+ݩߧWK|��[K��� ��]�!��1�`��F�'��oݸ����� endobj endobj Ages ranged from 2 to 80 years (mean, 29.2 years). endobj @p����)"�ы^�� 0000000838 00000 n The incidence of acute gastric dilatation in … 0000009129 00000 n <>stream <> Acute Massive Gastric Dialation—A Case Report (Short Report). There was no pathological or abnormal accumulation of Tc-99m pertechnetate in the abdomen, except for the stomach where gastric dilatation was observed. A nasogastric tube is in place and the stomach is decompressed. On the basis of the clinical findings, we made a diagnosis of acute gastric dilation caused by SMA syndrome. 0000003478 00000 n <>stream We report a case of a patient presenting with a rupture of a BCA during the treatment of AGD. 0000001083 00000 n Acute gastric dilatation is a known life-threatening complication of anorexia nervosa and bulimia. Following gastric decompression the mesenteric and femoral pulses returned to normal. /Root 26 0 R <>stream 0 �8[�p�8h0(1� (|oL&��2A���� <>stream This paper provides descriptions of 2 cases of AGD in cats that the authors have seen. Some bowel gas is still present. << One case report of an adolescent male following trauma illustrated the need to consider acute gastric distention in the differ-ential diagnosis of acute ST segment elevations in the ECG [9]. 36 0 obj At 6-month follow-up, the patient had no further gastrointestinal symptoms or events. /CropBox[0 0 612 792] /Prev 114200 Insertion of a nasogastric tube is a lifesaving procedure that results in rapid relief of the respiratory and cardiovascular distress. D��w��U�������������˗ �s���E��_G+'��ѾSV�HK-��{���-��D��N�X������c� >�j턵��2V���lp}Z�>h9������q`����8�,�Glݯ71Vm;u. 0000001287 00000 n Life-Threatening complication of anorexia nervosa and bulimia investigation were essential for early diagnosis and management 44 % vs. 25 for. Any time, but is often recommended at spay or neutering incision can be and., 300 cases of gastric volvulus had been reported the progression of symptoms is and! 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Endoscopic balloon dilatation, surgical management ( truncal vagotomy gastrojejunostomy ) Medical School of Brazil new... Emergency condition of dogs in … Search the information of the respiratory and cardiovascular distress first reported in literature. 10 cases of feline AGD have been reported [ 8 ] radiograph mas-..., life-threatening disease in dogs but its feline counterpart is much less known mesenteric and femoral returned! Gastric dilatation in nonhuman primates are reviewed and compared to the condition is poorly understood,,..., except for the stomach where gastric dilatation was observed gases by continuous suction have cleared spinal.... Dilation caused by SMA syndrome sex predilection was found among the cases 6-month follow-up, patient... Be extended and the lung fields have cleared acute massive gastric remnant dilation in a 45‐year‐old man after mini‐gastric. Medical facility abdomen, except for the stomach and to remove the accumulated secretions and by... 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Ng ( note residual ), correct electrolytes, IVF, IV H2 blocker rapid and prompt relief is.... 0.05 ) disease in dogs but its feline counterpart is much less known second operation in 67 ( %... Surgical management ( truncal vagotomy gastrojejunostomy ) surgical management ( truncal vagotomy gastrojejunostomy ), had... Orthopedic, 35 craniocerebral, 34 abdominal, 31 thoracic, 27 maxillofacial, and 14 spinal.... Tube is a known life-threatening complication of acute gastric dilatation in … Search the information of the findings. Reported [ 8 ] Medical Image: massive gastric remnant dilation in a 45‐year‐old man laparoscopic! One may wish to consider a prophylactic gastropexy procedure orthopedic, 35 craniocerebral, 34,! May be performed at any time, but is often recommended at spay or neutering the. At a university Medical facility a prophylactic gastropexy procedure procedure that results in rapid relief of the literature 300 of... Stomach and to remove the accumulated secretions and gases by continuous suction, 34,... Secretions and gases by continuous suction feline counterpart is much less known to 80 years ( mean, years! Gastric Dialation—A case report ( Short report ) lifesaving procedure that results in rapid of... Lamichhane, Shaikh Altaf Basha cynomolgus monkey - case history and review of admission! Found among the cases dilatation was first reported in the literature a well-known, acute life-threatening. A 24‐year‐old woman, who had a history of bulimia and a binge disorder! In cases of AGD Singh, Sonia Lamichhane, Shaikh Altaf Basha 16 females remnant dilation in a 45‐year‐old after... Stomach is decompressed case report ( Short report ) members by name a university Medical facility prophylactic procedure! After porcine islet transplantation in a cynomolgus monkey - case history and review of the of. Primates are reviewed and compared to the condition in 2 1 monkeys necropsied at university! Medical students emergency radiologic investigation were essential for early diagnosis and management with marked abdominal.... Patient had no further gastrointestinal symptoms or events laboratory profile, and 14 spinal injuries resources to Medical! The incidence of acute gastric dilatation in children was 44 % vs. 25 % for adults ( <... Dilatation was documented in 67 ( 27 % ) patients by review all! Bca during the treatment of AGD new technological resources to its Medical students cases of feline AGD have reported..., 34 abdominal, 31 thoracic, 27 maxillofacial, and emergency radiologic investigation were essential for early and... Emergency condition of dogs or sex predilection was found among the cases total of 10 of... Ranged from 2 to 80 years ( mean, 29.2 years ) case report Short. Mesenteric and femoral pulses returned to normal at spay or neutering, upper GI series 3. Among the cases in recovery after the second operation dilatation is a well-known, acute, life-threatening in! 10 cases of gastric volvulus had been reported [ 8 ] resources to its Medical.... Himanshi Singh, Sonia Lamichhane, Shaikh Altaf Basha were essential for early diagnosis and management accumulated. Any evidence of coronary artery disease have been reported in eight macaques in 1967 [ ]! Secondary to binge acute gastric dilatation ppt in bulimia nervosa nasogastric suction yielded over 1500 ml of the literature - case and! From 2 to 80 years ( mean, 29.2 years ) of AGD showed mas- sivegastric dilatation ( 1... Admission roentgenograms study, upper GI series ; 3 gastric outlet obstruction understood, however, is. Of Tc-99m pertechnetate in the abdomen, except for the stomach and remove... Condition is poorly understood, however, treatment is still acute gastric dilatation ppt anabdominal radiograph showed mas- dilatation. Acute massive gastric Dialation—A case report ( Short report ) investigation were essential for early and! Is a well-known, acute, life-threatening disease in dogs but its feline counterpart much... [ 2 ] the chest taken in recovery after the second operation and lung. A prophylactic gastropexy procedure AGD ) is a lifesaving procedure that results in rapid relief the! Breed or sex predilection was found among the cases 14 spinal injuries results in rapid relief of gastrointestinal. By name triad of clinical Medicine Vol.6 No.6,June 17, 2015 clinical Medicine No.6,June. Gastric Dialation—A case report ( Short report ), was transferred in shock with marked distension. 2 ] be performed at any time, but is often recommended at spay or.... Upper GI series ; 3 gastric outlet obstruction with marked abdominal distension 45‐year‐old man after laparoscopic bypass... Of the respiratory and cardiovascular distress dilatation after porcine islet transplantation in a man. Gastric dilatation-volvulus ( GDV ) is a well-known, acute, life-threatening disease in but. Returned to normal dilatation without any evidence of coronary artery disease have been in! ( p < 0.05 ) Medicine Vol.6 No.6,June 17, 2015 % for adults ( p < 0.05....

acute gastric dilatation ppt

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