Acute gastric dilatation - Revision history

Ostermayer: Marked this version for translation

2026-01-06T16:59:17Z

Marked this version for translation

← Revisión anterior		Revisión del 16:59 6 ene 2026
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	<translate>		<translate>

	==Background==		==Background== <!--T:1-->

			<!--T:2-->
	[[File:Anatomytool Muscles of stomach - English.jpg\|thumb\|Gastric anatomy.]]		[[File:Anatomytool Muscles of stomach - English.jpg\|thumb\|Gastric anatomy.]]
	[[File:Stomach emptying into duodenum.png\|thumb\|'''Normal''' emptying of the stomach into the duodenum through the pyloric sphincter.]]		[[File:Stomach emptying into duodenum.png\|thumb\|'''Normal''' emptying of the stomach into the duodenum through the pyloric sphincter.]]
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	===Etiologies===		===Etiologies=== <!--T:3-->

			<!--T:4-->
	*Post-operative complication (Nissen fundoplication)		*Post-operative complication (Nissen fundoplication)
	*Occurs after binge eating episodes, typically in those with an eating disorder		*Occurs after binge eating episodes, typically in those with an eating disorder
Línea 25:		Línea 27:


	===Pathogenesis===		===Pathogenesis=== <!--T:5-->

			<!--T:6-->
	*Intragastric pressure >20mmHg leads to impaired intramural blood flow and mucosal necrosis		*Intragastric pressure >20mmHg leads to impaired intramural blood flow and mucosal necrosis
	*Gastric volumes greater than 4 liters lead to regular mucosal tears		*Gastric volumes greater than 4 liters lead to regular mucosal tears
Línea 33:		Línea 36:


	==Clinical Features==		==Clinical Features== <!--T:7-->

			<!--T:8-->
	*[[Special:MyLanguage/vomiting\|Emesis]] is typical symptom in 90% of cases		*[[Special:MyLanguage/vomiting\|Emesis]] is typical symptom in 90% of cases
	*Inability to vomit seen in massive distention		*Inability to vomit seen in massive distention
Línea 43:		Línea 47:


	==Differential Diagnosis==		==Differential Diagnosis== <!--T:9-->

	</translate>		</translate>
Línea 50:		Línea 54:


	==Evaluation==		==Evaluation== <!--T:10-->

			<!--T:11-->
	*Typical work up for abdominal pain		*Typical work up for abdominal pain
	*Upright [[Special:MyLanguage/chest x-ray\|chest x-ray]] and [[Special:MyLanguage/acute abdominal series\|abdominal series]] to assess for free air		*Upright [[Special:MyLanguage/chest x-ray\|chest x-ray]] and [[Special:MyLanguage/acute abdominal series\|abdominal series]] to assess for free air
Línea 57:		Línea 62:
	*CT imaging if safe and indicated		*CT imaging if safe and indicated

			<!--T:12-->
	[[File:Acutegastricdilation.png\|thumb\|Large distended stomach consistent with gastric dilation]]		[[File:Acutegastricdilation.png\|thumb\|Large distended stomach consistent with gastric dilation]]


	==Management==		==Management== <!--T:13-->

			<!--T:14-->
	*[[Special:MyLanguage/nasogastric tube\|Nasogastric]] or orogastric decompression is first line therapy		*[[Special:MyLanguage/nasogastric tube\|Nasogastric]] or orogastric decompression is first line therapy
	**Typically a large special tube required which is placed under anesthesiologist supervision in OR		**Typically a large special tube required which is placed under anesthesiologist supervision in OR
Línea 68:		Línea 75:


	==Disposition==		==Disposition== <!--T:15-->

			<!--T:16-->
	*Patient may require emergent surgical decompression		*Patient may require emergent surgical decompression
	*If improvement with non-operative decompression, may require admission for continued monitoring		*If improvement with non-operative decompression, may require admission for continued monitoring


	==Complications==		==Complications== <!--T:17-->

			<!--T:18-->
	*[[Special:MyLanguage/ischemic bowel\|Bowel necrosis]] with or without perforation		*[[Special:MyLanguage/ischemic bowel\|Bowel necrosis]] with or without perforation
	*[[Special:MyLanguage/Abdominal compartment syndrome\|Abdominal compartment syndrome]]		*[[Special:MyLanguage/Abdominal compartment syndrome\|Abdominal compartment syndrome]]
Línea 82:		Línea 91:


	==See Also==		==See Also== <!--T:19-->

			<!--T:20-->
	*[[Special:MyLanguage/Bariatric surgery complications\|Bariatric surgery complications]]		*[[Special:MyLanguage/Bariatric surgery complications\|Bariatric surgery complications]]


	==External Links==		==External Links== <!--T:21-->


	==References==		==References== <!--T:22-->

			<!--T:23-->
	<references/>		<references/>
	#Dewangan M, Khare MK, Mishra S, and Marhual JC. Binge eating leading to acute gastric dilation, ischemic necrosis and rupture. ''Journal of Clinical and Diagnostic Research." 2016; 10(3): 6-7.		#Dewangan M, Khare MK, Mishra S, and Marhual JC. Binge eating leading to acute gastric dilation, ischemic necrosis and rupture. ''Journal of Clinical and Diagnostic Research." 2016; 10(3): 6-7.
Línea 97:		Línea 108:
	#Santos T, Freitas C, and Pinto-de-Sousa J. Gastric wall ischemia following massive gastric distention due to pyloric stenosis: a case report. ''Journal of Surgical Case Reports''. 2016; 2: 1-3.		#Santos T, Freitas C, and Pinto-de-Sousa J. Gastric wall ischemia following massive gastric distention due to pyloric stenosis: a case report. ''Journal of Surgical Case Reports''. 2016; 2: 1-3.

			<!--T:24-->
	[[Category:GI]]		[[Category:GI]]
	</translate>		</translate>

Ostermayer: Prepared the page for translation

2026-01-04T21:35:48Z

Prepared the page for translation

← Revisión anterior		Revisión del 21:35 4 ene 2026
Línea 1:		Línea 1:
			<languages/>
			<translate>

	==Background==		==Background==

	[[File:Anatomytool Muscles of stomach - English.jpg\|thumb\|Gastric anatomy.]]		[[File:Anatomytool Muscles of stomach - English.jpg\|thumb\|Gastric anatomy.]]
	[[File:Stomach emptying into duodenum.png\|thumb\|'''Normal''' emptying of the stomach into the duodenum through the pyloric sphincter.]]		[[File:Stomach emptying into duodenum.png\|thumb\|'''Normal''' emptying of the stomach into the duodenum through the pyloric sphincter.]]
Línea 5:		Línea 9:
	*Invariable leads to necrosis with or without perforation		*Invariable leads to necrosis with or without perforation
	*Most commonly a post-operative complication		*Most commonly a post-operative complication


	===Etiologies===		===Etiologies===

	*Post-operative complication (Nissen fundoplication)		*Post-operative complication (Nissen fundoplication)
	*Occurs after binge eating episodes, typically in those with an eating disorder		*Occurs after binge eating episodes, typically in those with an eating disorder
	**[[Bulimia nervosa]]		**[[Special:MyLanguage/Bulimia nervosa\|Bulimia nervosa]]
	**Also psychogenic polyphagia		**Also psychogenic polyphagia
	*Mechanical obstruction		*Mechanical obstruction
	**[[Pyloric stenosis]]		**[[Special:MyLanguage/Pyloric stenosis\|Pyloric stenosis]]
	**Stricture/adhesions		**Stricture/adhesions
	**[[SMA syndrome]]		**[[Special:MyLanguage/SMA syndrome\|SMA syndrome]]
	**[[Gastric volvulus]]		**[[Special:MyLanguage/Gastric volvulus\|Gastric volvulus]]
	*Other etiologies including [[Diabetes mellitus]], [[trauma]], spinal conditions		*Other etiologies including [[Special:MyLanguage/Diabetes mellitus\|Diabetes mellitus]], [[Special:MyLanguage/trauma\|trauma]], spinal conditions


	===Pathogenesis===		===Pathogenesis===

	*Intragastric pressure >20mmHg leads to impaired intramural blood flow and mucosal necrosis		*Intragastric pressure >20mmHg leads to impaired intramural blood flow and mucosal necrosis
	*Gastric volumes greater than 4 liters lead to regular mucosal tears		*Gastric volumes greater than 4 liters lead to regular mucosal tears
	*Patients with pathologic eating disorders can have larger gastric volumes at baseline		*Patients with pathologic eating disorders can have larger gastric volumes at baseline
	*Acute massive gastric dilation is an extreme form (intragastric pressure >30)		*Acute massive gastric dilation is an extreme form (intragastric pressure >30)


	==Clinical Features==		==Clinical Features==
	*[[vomiting\|Emesis]] is typical symptom in 90% of cases
			*[[Special:MyLanguage/vomiting\|Emesis]] is typical symptom in 90% of cases
	*Inability to vomit seen in massive distention		*Inability to vomit seen in massive distention
	*Other features include:		*Other features include:
	**Abdominal distention		**Abdominal distention
	**[[Abdominal pain]]		**[[Special:MyLanguage/Abdominal pain\|Abdominal pain]]
	**Signs of [[peritonitis]] after perforation		**Signs of [[Special:MyLanguage/peritonitis\|peritonitis]] after perforation


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Nausea and vomiting DDX}}		{{Nausea and vomiting DDX}}
			<translate>


	==Evaluation==		==Evaluation==

	*Typical work up for abdominal pain		*Typical work up for abdominal pain
	*Upright [[chest x-ray]] and [[acute abdominal series\|abdominal series]] to assess for free air		*Upright [[Special:MyLanguage/chest x-ray\|chest x-ray]] and [[Special:MyLanguage/acute abdominal series\|abdominal series]] to assess for free air
	**Can identify large distended stomach on x-ray		**Can identify large distended stomach on x-ray
	*CT imaging if safe and indicated		*CT imaging if safe and indicated

	[[File:Acutegastricdilation.png\|thumb\|Large distended stomach consistent with gastric dilation]]		[[File:Acutegastricdilation.png\|thumb\|Large distended stomach consistent with gastric dilation]]


	==Management==		==Management==
	*[[nasogastric tube\|Nasogastric]] or orogastric decompression is first line therapy
			*[[Special:MyLanguage/nasogastric tube\|Nasogastric]] or orogastric decompression is first line therapy
	**Typically a large special tube required which is placed under anesthesiologist supervision in OR		**Typically a large special tube required which is placed under anesthesiologist supervision in OR
	*Resuscitation with fluids and intravenous antibiotics as indicated		*Resuscitation with fluids and intravenous antibiotics as indicated
	*If conservative measures fail or gastric infarction suspected, surgical intervention mandatory		*If conservative measures fail or gastric infarction suspected, surgical intervention mandatory


	==Disposition==		==Disposition==

	*Patient may require emergent surgical decompression		*Patient may require emergent surgical decompression
	*If improvement with non-operative decompression, may require admission for continued monitoring		*If improvement with non-operative decompression, may require admission for continued monitoring


	==Complications==		==Complications==
	*[[ischemic bowel\|Bowel necrosis]] with or without perforation
	*[[Abdominal compartment syndrome]]		*[[Special:MyLanguage/ischemic bowel\|Bowel necrosis]] with or without perforation
	*[[Sepsis]]/[[Septic shock]]		*[[Special:MyLanguage/Abdominal compartment syndrome\|Abdominal compartment syndrome]]
			*[[Special:MyLanguage/Sepsis\|Sepsis]]/[[Special:MyLanguage/Septic shock\|Septic shock]]
	*If gastric necrosis and/or perforation not recognized and treatment delayed, mortality reaches 80%		*If gastric necrosis and/or perforation not recognized and treatment delayed, mortality reaches 80%


	==See Also==		==See Also==
	*[[Bariatric surgery complications]]
			*[[Special:MyLanguage/Bariatric surgery complications\|Bariatric surgery complications]]


	==External Links==		==External Links==


	==References==		==References==

	<references/>		<references/>
	#Dewangan M, Khare MK, Mishra S, and Marhual JC. Binge eating leading to acute gastric dilation, ischemic necrosis and rupture. ''Journal of Clinical and Diagnostic Research." 2016; 10(3): 6-7.		#Dewangan M, Khare MK, Mishra S, and Marhual JC. Binge eating leading to acute gastric dilation, ischemic necrosis and rupture. ''Journal of Clinical and Diagnostic Research." 2016; 10(3): 6-7.
Línea 71:		Línea 98:

	[[Category:GI]]		[[Category:GI]]
			</translate>

Rossdonaldson1: /* Background */

2024-02-07T23:47:48Z

Background

← Revisión anterior		Revisión del 23:47 7 feb 2024
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:Anatomytool Muscles of stomach - English.jpg\|thumb\|Gastric anatomy.]]
	[[File:Stomach emptying into duodenum.png\|thumb\|'''Normal''' emptying of the stomach into the duodenum through the pyloric sphincter.]]		[[File:Stomach emptying into duodenum.png\|thumb\|'''Normal''' emptying of the stomach into the duodenum through the pyloric sphincter.]]
	*Rare event		*Rare event

Rossdonaldson1 at 23:46, 7 February 2024

2024-02-07T23:46:23Z

← Revisión anterior		Revisión del 23:46 7 feb 2024
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:Stomach emptying into duodenum.png\|thumb\|'''Normal''' emptying of the stomach into the duodenum through the pyloric sphincter.]]
	*Rare event		*Rare event
	*Invariable leads to necrosis with or without perforation		*Invariable leads to necrosis with or without perforation

Rossdonaldson1: Rossdonaldson1 moved page Acute gastric dilation to Acute gastric dilatation

2021-07-07T18:20:47Z

Rossdonaldson1 moved page Acute gastric dilation to Acute gastric dilatation

← Revisión anterior	Revisión del 18:20 7 jul 2021
(Sin diferencias)

ClaireLewis at 18:34, 29 September 2019

2019-09-29T18:34:05Z

← Revisión anterior		Revisión del 18:34 29 sep 2019
Línea 5:		Línea 5:

	===Etiologies===		===Etiologies===
	*Post-operative complication (Nissen ~~flundoplication~~)		*Post-operative complication (Nissen fundoplication)
	*Occurs after binge eating episodes, typically in those with an eating disorder		*Occurs after binge eating episodes, typically in those with an eating disorder
	**[[Anorexia nervosa]]
	**[[Bulimia nervosa]]		**[[Bulimia nervosa]]
	**Also ~~Psychogenic [[~~polyphagia]]		**Also psychogenic polyphagia
	*Mechanical obstruction		*Mechanical obstruction
	**[[Pyloric stenosis]]		**[[Pyloric stenosis]]
	**Stricture/adhesions		**Stricture/adhesions
	**[[SMA syndrome]]		**[[SMA syndrome]]
	**~~Gastric~~ [[volvulus]]		**[[Gastric volvulus]]
	*Other etiologies including [[Diabetes mellitus]], trauma, spinal conditions		*Other etiologies including [[Diabetes mellitus]], [[trauma]], spinal conditions

	===Pathogenesis===		===Pathogenesis===
Línea 24:		Línea 23:

	==Clinical Features==		==Clinical Features==
	*Emesis is typical symptom in 90% of cases		*[[vomiting\|Emesis]] is typical symptom in 90% of cases
	*Inability to vomit seen in massive distention		*Inability to vomit seen in massive distention
	*Other features include:		*Other features include:
Línea 36:		Línea 35:
	==Evaluation==		==Evaluation==
	*Typical work up for abdominal pain		*Typical work up for abdominal pain
	*Upright chest x-ray and abdominal series to assess for free air		*Upright [[chest x-ray]] and [[acute abdominal series\|abdominal series]] to assess for free air
	**Can identify large distended stomach on x-ray		**Can identify large distended stomach on x-ray
	*CT imaging if safe and indicated		*CT imaging if safe and indicated
Línea 43:		Línea 42:

	==Management==		==Management==
	*Nasogastric or orogastric decompression is first line therapy		*[[nasogastric tube\|Nasogastric]] or orogastric decompression is first line therapy
	**Typically a large special tube required which is placed under anesthesiologist supervision in OR		**Typically a large special tube required which is placed under anesthesiologist supervision in OR
	*Resuscitation with fluids and intravenous antibiotics as indicated		*Resuscitation with fluids and intravenous antibiotics as indicated
Línea 53:		Línea 52:

	==Complications==		==Complications==
	*Bowel necrosis with or without perforation		*[[ischemic bowel\|Bowel necrosis]] with or without perforation
	*[[Abdominal compartment syndrome]]		*[[Abdominal compartment syndrome]]
	*[[Sepsis]]/[[Septic shock]]		*[[Sepsis]]/[[Septic shock]]

Rossdonaldson1: /* Differential Diagnosis */

2017-01-18T13:18:35Z

Differential Diagnosis

← Revisión anterior		Revisión del 13:18 18 ene 2017
Línea 32:		Línea 32:

	==Differential Diagnosis==		==Differential Diagnosis==
	*See [[Abdominal Pain]]		{{Nausea and vomiting DDX}}
	*See [[Nausea and vomiting]]

	==Evaluation==		==Evaluation==

Mackeym2: /* Evaluation */

2017-01-12T03:30:05Z

Evaluation

← Revisión anterior		Revisión del 03:30 12 ene 2017
Línea 41:		Línea 41:
	*CT imaging if safe and indicated		*CT imaging if safe and indicated

	[[File:Acutegastricdilation.png\|thumb\|~~Writing that you want on the bottom of the photo~~]]		[[File:Acutegastricdilation.png\|thumb\|Large distended stomach consistent with gastric dilation]]

	==Management==		==Management==

Mackeym2: /* Evaluation */

2017-01-12T03:28:04Z

Evaluation

← Revisión anterior		Revisión del 03:28 12 ene 2017
Línea 41:		Línea 41:
	*CT imaging if safe and indicated		*CT imaging if safe and indicated

	[[File:~~IMG_0197~~.~~jpg~~\|thumb\|Writing that you want on the bottom of the photo]]		[[File:Acutegastricdilation.png\|thumb\|Writing that you want on the bottom of the photo]]

	==Management==		==Management==

Mackeym2: /* Evaluation */

2017-01-12T03:17:18Z

Evaluation

← Revisión anterior		Revisión del 03:17 12 ene 2017
Línea 40:		Línea 40:
	**Can identify large distended stomach on x-ray		**Can identify large distended stomach on x-ray
	*CT imaging if safe and indicated		*CT imaging if safe and indicated

			[[File:IMG_0197.jpg\|thumb\|Writing that you want on the bottom of the photo]]

	==Management==		==Management==