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Near-total gastric necrosis caused by acute gastric dilatation.

Authors
  • Reeve, T
  • Jackson, B
  • Scott-Conner, C
  • Sledge, C
Type
Published Article
Journal
Southern medical journal
Publication Date
Apr 01, 1988
Volume
81
Issue
4
Pages
515–517
Identifiers
PMID: 3358178
Source
Medline
License
Unknown

Abstract

Gastric dilatation caused by psychogenic polyphagia or bulimia may, under extreme circumstances, progress to total gastric necrosis. We have described a patient in whom acute abdominal symptoms and signs developed while he was receiving psychiatric treatment. Laparotomy showed massive gastric dilatation with near-total infarction. Total gastrectomy with cervical esophagostomy, feeding and decompressing jejunostomies, and wide drainage of the gastric bed were done. After staged reconstruction, recovery was uneventful.

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