Gastric Volvulus - Causes, Diagnosis And Treatment In India
Gastric Volvulus treatment in India is offered with medical care that ranks high in quality and low in price
. India has one of the best qualified professionals in each and every field and this fact has now been realized the world over. India offers World Class Medical Facilities, comparable with any of the western countries. India has state of the art Hospitals and the best qualified doctors. With the best infrastructure, the best possible Medical facilities, accompanied with the most competitive prices, you can get the treatment done in India at the lowest charges. Significant cost differences exist between U.K, U.S. and India when it comes to medical treatment. Gastric Volvulus treatment in India is not only economical but the waiting time is almost nil. This is due to the outburst of the private sector which comprises of hospitals and clinics with the latest technology and best practitioners.
What is Gastric Volvulus?
Gastric volvulus is a condition involving the stomach twisting upon itself. The twist may be a flip over of one side on the other, along the axis of the two ends of the stomach, called organoaxial volvulus (more common variant), or may be a flip of the upper part of the stomach on the end of stomach, called mesenteroaxial volvulus (less common). A combination of both types may occur in an individual.
Gastric volvulus is very rare. It can occur at any age. It is commoner in adults. Childhood Gastric volvulus account for up to 20% of stomach volvulus, and more than half of these occurs before the first one year of life. Males and females are equally affected.
Causes of Gastric Volvulus
Gastric volvulus of the stomach is more common in individuals with birth defects (congenital abnormalities) of their diaphragm; hiatus hernia; too long gastric (stomach) ligaments; no spleen; weak muscles (motor neurone diseases); tumour of the stomach or other defects affecting the stomach.
Those with defects of the diaphragm commonly suffer with the common type (organoaxial volvulus), and it is the most serious form, needing urgent surgical intervention. The mesenteroaxial type does not often lead to compromise of blood supply to the stomach speedily, and may run a chronic course.
Diagnosis of Gastric Volvulus
The diagnosis of Gastric volvulus can be suspected from the history if it fits the classic triad described by Moritz Borchardt (1868 1948), as Epigastric pain, retching without vomiting, and inability to pass a naso-gastric tube. To confirm the diagnosis, any of the following could be done:
X-RAY: This will show Gastric volvulus as a air-filled sac behind the heart shadow on a chest x-ray, described as a re-cardiac air bubble, or fluid filled sac. X-ray of the abdomen may show part of the stomach that may still be in the abdomen, massively distended.
BARIUM MEAL: A barium meal is a special type of x-ray where a toothpaste-like gel is given to be showed and swallowed, to provide contrast, after which a routine x-ray is taken. In this condition, a barium meal will show narrowing or absence of barium in the part of the stomach where the obstruction is.
CT-SCAN: A computed tomography scan, commonly called CT-scan will show the whole anatomy of the stomach, making precise diagnosis possible, as well as the type of obstruction. It may also give clue as to the cause of the Gastric volvulus in the first place.
Treatment of Gastric volvulus
Acute Gastric volvulus is a surgical emergency. Once the diagnosis is suspected and confirmed, attempt to relieve the obstruction by means of Endoscopic manoeuvre may be attempted. This may be achieved by introducing the endoscope beyond the point of obstruction and then rotated to unwind the twisted stomach. There is a high risk of perforation, especially if the obstruction has been on for a long time. Any seeming delay, Endoscopic manoeuvre must be abandoned immediately for open surgery. Once the abdomen is opened, the stomach is identified, untwisted, and its viability tested. If still viable, the stomach is secured by fixing it to the anterior abdominal wall and diaphragm (called anterior gastroplexy). Any defect in the wall of the diaphragm that may have in the first place been the cause of the volvulus is repaired.
After the operation of Gastric Volvulus, you will be moved over to the recovery room. You may wake up to find many tubes connected to you. A tube may be in your nose, draining fluid (which may be blood stained), from your stomach. Other tubes may be coming from your bladder, and drips in your veins. You may have sticky bits with wires on your chest to monitor your heart and blood pressure cuff on your arm during your Gastric volvulus treatment. Do not panic. After a while, you will be moved over to the ward once the anaesthetic agent has worn off from your system. You may be in hospital for a couple of days, and then be discharged. Stitches may come out on the seventh day. If dissolvable stitches were used, you need not worry about removing stitches.
Why India is a preferred destination for Gastric volvulus treatment?
This high priced surgery is usually not covered by health insurance, with few exceptions. Therefore many patients take second mortgages on their homes or forgo buying a new car to pay for the operation. Are you one of them? Just think before proceeding further! You can have your Gastric Volvulus treatment in India at Kerala and Goa without sacrificing your other luxurious needs or borrowing loans. Gastric Volvulus treatment in India is offered that suits your pocket and medical needs. The state of art hospitals and reputed surgeons in India provide top quality Gastric Volvulus treatment in India. Medical facilities in India are at par with that in UK, USA or any other part of the world. So plan your Gastric Volvulus treatment in India.
by: mzk
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