Symptoms of gastric volvulus in children

summary

In children with normal gastric volvulus, the lower end of the stomach is fixed by the duodenum. The shape of the stomach is maintained by the gastrosplenic ligament, gastroduodenal ligament, gastrophrenic ligament and gastrohepatic ligament ° It turns. Let's talk about the symptoms of gastric volvulus in children.

Symptoms of gastric volvulus in children

1. The onset of acute gastric volvulus is sudden, showing pain in the upper abdomen (subphrenic type) or left chest (supradiaphragmatic type). The upper abdomen of patients with subphrenic gastric volvulus is significantly expanded, while the lower abdomen remains flat and soft. However, patients with supradiaphragmatic gastric volvulus have chest symptoms, and the upper abdomen can be normal. Chest pain can radiate to the arm and neck, accompanied by dyspnea. Therefore, they are often misdiagnosed as myocardial infarction. Patients with acute gastric volvulus often have persistent retching, with little vomit and hematemesis. If hematemesis occurs, it often indicates mucosal ischemia or esophageal laceration, Boirchardt described the characteristic triad of acute gastric volvulus: (1) persistent retching with little or no vomit（ 2) Sudden severe and transient chest or upper abdominal pain（ 3) It is difficult to insert a gastric tube into the stomach.

2. Chronic gastric volvulus patients often have nonspecific symptoms, such as stomach discomfort, dyspepsia, burning sensation, epigastric fullness or bellyache, which are more than those induced after meals. Although patients rarely have symptoms of gastroesophageal reflux, esophagitis can be found by endoscopy. The pain of intermittent gastric volvulus is similar to that of acute gastric volvulus, but the degree is mild. It is because of its transient characteristics, It is often mistaken for the origin of pancreaticobiliary tract. Chronic intermittent gastric volvulus should be considered in patients with paraesophageal hernia, especially those with vomiting or retching.

3. Endoscopy: when gastric volvulus occurs, it is difficult to perform endoscopy. It can be seen that the anterior and posterior wall of the stomach or the position of the big curve and the small curve changes. Esophagitis, tumor or ulcer can be found in some patients.

matters needing attention

1. Pay attention to cold: cold stomach will damage the function of the stomach, so pay attention to keep the stomach warm, not cold. 2. Avoid stimulation: do not smoke, because smoking makes gastric vasoconstriction, affect the blood supply of gastric parietal cells, reduce the resistance of gastric mucosa and induce stomach disease. Should drink less, eat less pepper, pepper and other spicy food. 3. Vitamin C Supplement: Vitamin C has a protective effect on the stomach. The normal content of vitamin C in gastric juice can effectively play the function of the stomach, protect the stomach and enhance the disease resistance of the stomach. Therefore, eat more vegetables and fruits rich in vitamin C.