Abstract:Objective:To study the diagnosis and treatment of acute gastric dilatation.
Methods :The clinical data of 19 cases of acute gastric dilatation treated in the past 35 years in our hospital were retrospectively analyzed.
Results:Of 19 patients, 11 were misdiagnosed. Fifteen patients underwent operation, including gastrostomy (6 cases), gastrotomy (4 cases), partial gastric fundus resection (2 cases), others operations (2 case), and laparotomy exploration (1 case); among them four patient died. Four patients received conservative treatment and one of them died. The conservative therapy for acute gastric dilatation consisted of nasogastric decompression and fluid resuscitation.
Conclusions:Acute gastric dilatation is rare, rapidly progressive and fatal acute abdomeninal condition with atypical clinical manifestations and high misdiagnosis rate. If conservative therapy fails or typical signs of peritonitis are present, aggressive surgical intervention would be the best choice.