Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0042961 (volvulus)
 4,305 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The mixed-type esophageal hernia is an indication for operation to prevent stomach volvulus and perforation. However, preventive operation is meaningful depending on the physical status. We encountered an 84-year-old, demented, bed-ridden woman of mixed-type esophageal hernia complicated with severe reflux esophagitis. First, the patient was conservatively treated by intravenous hyperalimentation and H2 blocker but, with onset of delirium, she removed the venous route twice. Subsequently, she was tightly restrained to the bed to avoid removing the line. Ethical deliberation for the patient tightly fixed to the bed and intravenous alimentation for her life prompted us to reconsider hernia operation after discussion with surrogate decision makers. The patient recovered uneventfully after operation, and movement without intravenous route or without any restraints was maintained by oral feeding assisted by gastrostomy feeding. In the coming decade, when senior patients are expected to increase, such operations can be forwarded to respect the patients' quality of life.
Dis Esophagus 2002
PMID:Esophageal hernia in dementia: surgeon's role for mixed-type esophageal hernia in an elderly woman with dementia. 1244 1

A type IV paraesophageal hernia is a rare complication in esophageal hiatus and is an uncommon presentation of hiatal hernia. We report herein a 71-year-old man who presented with abdominal pain, nausea and constipation that was attributed to a sigmoid volvulus. At laparotomy, the sigmoid volvulus was identified as strangulated and involved in a type IV paraesophageal hernia in which the esophageal junction was located in its normal anatomic position. The esophageal hiatus was impressively dilated and there was no evidence suggesting previous mechanical disruption of the esophageal hiatus.
Dis Esophagus 2008
PMID:A type IV paraesophageal hernia containing a volvulized sigmoid colon. 1819 47

A 73-year-old man underwent laparoscopic repair of intrathoracic gastric volvulus after presenting with chest discomfort and inability to belch. After a few weeks, he developed early satiety, nausea and postprandial bloating and was found to have developed a tight stenosis 2 cm proximal to the pylorus. He underwent a series of endoscopies with balloon dilation with full resolution of symptoms and is doing well at 1-year follow-up. Gastric volvulus with ischemia resulting in a stricture has not been previously reported.
Dis Esophagus 2008
PMID:Incarcerated intrathoracic stomach with antral ischemia resulting in gastric outlet obstruction: a case report. 1826 58