Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
권호 표지

Two Cases of Acute Gastric Volvulus

급성 위염전 2예

  • Kim, Sung-Ho (Department of Gastroenterology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Park, Jong-Jae (Department of Gastroenterology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Kim, Seung-Han (Department of Gastroenterology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Choe, Jung-Wan (Department of Gastroenterology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Joo, Moon-Kyung (Department of Gastroenterology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Lee, Beom-Jae (Department of Gastroenterology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Kim, Jae-Seon (Department of Gastroenterology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Bak, Young-Tae (Department of Gastroenterology, Korea University Guro Hospital, Korea University College of Medicine)
  • 김성호 (고려대학교 의과대학 구로병원 내과학교실) ;
  • 박종재 (고려대학교 의과대학 구로병원 내과학교실) ;
  • 김승한 (고려대학교 의과대학 구로병원 내과학교실) ;
  • 최정완 (고려대학교 의과대학 구로병원 내과학교실) ;
  • 주문경 (고려대학교 의과대학 구로병원 내과학교실) ;
  • 이범재 (고려대학교 의과대학 구로병원 내과학교실) ;
  • 김재선 (고려대학교 의과대학 구로병원 내과학교실) ;
  • 박영태 (고려대학교 의과대학 구로병원 내과학교실)
  • Published : 2011.03.30
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Abstract

Gastric volvulus is torsion of the stomach axis accompanied by obstruction and/or strangulation. It is a very rare condition, but it is considered a clinical emergency when it occurs acutely. Acute gastric volvulus requires an early diagnosis and prompt surgical treatment because a delayed diagnosis may lead to gastric obstruction, ischemia and necrosis. We experienced two cases of acute gastric volvulus due to diaphragmatic hernia and the patients were successfully treated with surgery. Here, we report on these two cases with the review of the reported literature on 26 adult cases of gastric volvulus in South Korea.

위염전은 180도 이상 혹은 폐쇄가 일어날 정도로 위가 회전을 일으키는 질환으로 매우 드물어서 산발적인 증례 보고만이 되고 있으나 급성 발병 시 허혈 및 괴사가 합병될 수 있어 빠른 진단과 응급 수술을 요한다. 저자들은 급성 복통을 주소로 내원한 환자에서 횡경막 결손이 동반된 급성 위염전으로 진단하고 수술을 통해 성공적으로 치료한 2예를 경험하여, 국내에 보고된 성인의 위염전 26예의 문헌 고찰과 함께 이를 보고한다.

Keywords

References

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