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Gastric volvulus, Borchardt's Triad, and Endoscopy: A Rare Twist.
Hawaii Med J. 2011 Apr; 70(4):80-2.HM

Abstract

The authors describe a case of gastric volvulus, which is a rare cause of gastric outlet obstruction. An 85-year-old man presented with nausea, vomiting, and epigastric pain. Admission abdominal radiograph demonstrated a grossly distended stomach with air-fluid levels. Multiple attempts at nasogastric tube placement failed. Endoscopy revealed a fluid-filled, tortuous stomach with a paraesophageal hernia, and the operator was unable to locate or pass the scope through the pylorus. Traditionally Borchardt's triad is believed to be diagnostic for acute gastric volvulus and consists of unproductive retching, epigastric pain and distention, and the inability to pass a nasogastric tube. The authors propose that the following features on endoscopy are highly suggestive of the most common type of volvulus (organoaxial): tortuous stomach, paraesophageal hernia, and inability to locate or pass the scope through the pylorus.

Authors+Show Affiliations

Department of Internal Medicine, Tripler Army Medical Center, Honolulu, HI, USA. (A.P.C.). anthony.cardile@us.army.milNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21785507

Citation

Cardile, Anthony P., and David S. Heppner. "Gastric Volvulus, Borchardt's Triad, and Endoscopy: a Rare Twist." Hawaii Medical Journal, vol. 70, no. 4, 2011, pp. 80-2.
Cardile AP, Heppner DS. Gastric volvulus, Borchardt's Triad, and Endoscopy: A Rare Twist. Hawaii Med J. 2011;70(4):80-2.
Cardile, A. P., & Heppner, D. S. (2011). Gastric volvulus, Borchardt's Triad, and Endoscopy: A Rare Twist. Hawaii Medical Journal, 70(4), 80-2.
Cardile AP, Heppner DS. Gastric Volvulus, Borchardt's Triad, and Endoscopy: a Rare Twist. Hawaii Med J. 2011;70(4):80-2. PubMed PMID: 21785507.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastric volvulus, Borchardt's Triad, and Endoscopy: A Rare Twist. AU - Cardile,Anthony P, AU - Heppner,David S, PY - 2011/7/26/entrez PY - 2011/7/26/pubmed PY - 2012/1/27/medline SP - 80 EP - 2 JF - Hawaii medical journal JO - Hawaii Med J VL - 70 IS - 4 N2 - The authors describe a case of gastric volvulus, which is a rare cause of gastric outlet obstruction. An 85-year-old man presented with nausea, vomiting, and epigastric pain. Admission abdominal radiograph demonstrated a grossly distended stomach with air-fluid levels. Multiple attempts at nasogastric tube placement failed. Endoscopy revealed a fluid-filled, tortuous stomach with a paraesophageal hernia, and the operator was unable to locate or pass the scope through the pylorus. Traditionally Borchardt's triad is believed to be diagnostic for acute gastric volvulus and consists of unproductive retching, epigastric pain and distention, and the inability to pass a nasogastric tube. The authors propose that the following features on endoscopy are highly suggestive of the most common type of volvulus (organoaxial): tortuous stomach, paraesophageal hernia, and inability to locate or pass the scope through the pylorus. SN - 0017-8594 UR - https://www.unboundmedicine.com/medline/citation/21785507/Gastric_volvulus_Borchardt's_Triad_and_Endoscopy:_A_Rare_Twist_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21785507/ DB - PRIME DP - Unbound Medicine ER -