Abstract:Objective:To investigate the pathogenesis, diagnosis and treatment of gastric volvulus. Methods:The clinical data of 30 patients with gastric volvulus were analyzed retrospectively. Results:17 patients(56.7%) were diagnosed preoperatively,and 13 patients(43.3%) at exploratory laparotomy. 21 cases(70.0%) was diagnosed as organo-axial type, 8 cases(26.7%) as mesenterico-axial type, and 1 case(3.3%) as combined type.3 patients underwent gastric volvulus restoration by endoscopy；27 patients received operation,and all the 30 patients were discharged in good health.All of the cases were followed up for 5 years;one case,treated by endoscopy,recurred,but none of the other cases recurred. Conclusions:Laxity of gastric suspensory ligaments is the main pathogenetic factor of gastric volvulus,but its occurrence is usually caused by multiple factors.The diagnosis depends on the combined analysis of the clinical manifestations and radiographic studies or exploratory laparotomy. Operation is the first choice of treatment.