Management of acute upside-down stomach

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Management of acute upside-down stomach

BACKGROUND Upside-down stomach (UDS) is characterized by herniation of the entire stomach or most gastric portions into the posterior mediastinum. Symptoms may vary heavily as they are related to reflux and mechanically impaired gastric emptying. UDS is associated with a risk of incarceration and volvulus development which both might be complicated by acute gastric outlet obstruction, advanced ...

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Upside-down stomach – results of mini-invasive surgical therapy

AIM The authors evaluate the results of mini-invasive therapy in patients diagnosed with upside-down stomach. MATERIAL AND METHODS From 1998 to 2008, a total of 27 patients diagnosed with upside-down stomach were surgically treated at the 1st Department of Surgery, University Hospital Olomouc. Before the operation, patients were examined endoscopically and a barium swallow was performed. In a...

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Metabolic Alkalosis, Acute Renal Failure and Epileptic Seizures as Unusual Manifestations of an Upside-Down Stomach

Upside-down stomach represents a critical and rare manifestation of hiatal hernias. Here we report on a 60-year-old male patient who was admitted to our hospital with epileptic seizures and dehydration. Laboratory tests revealed severe metabolic alkalosis (pH 7.56) with low potassium (2.7 mmol/l), hypochloremia (<60 mmol/l), increased hematocrit (53%) and high levels of serum creatinine (651 µm...

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Successful laparoscopic management of paraesophageal hiatal hernia with upside-down intrathoracic stomach: a case report

INTRODUCTION Paraesophageal hernia with intrathoracic mesentericoaxial type of gastric volvulus is a rare clinical entity. The rotation occurs because of the idiopathic relaxation of the gastric ligaments and ascent of the stomach adjacent to the oesophagus through the hiatus defect, while the gastroesophageal junction remains in the abdomen. The open approach remains the gold standard therapy ...

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Ramanujan Series Upside-down

We prove that there is a correspondence between Ramanujan-type formulas for 1/π and formulas for Dirichlet L-values. Our method also allows us to reduce certain values of the Epstein zeta function to rapidly converging hypergeometric functions. The Epstein zeta functions were previously studied by Glasser and Zucker.

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ژورنال

عنوان ژورنال: BMC Surgery

سال: 2013

ISSN: 1471-2482

DOI: 10.1186/1471-2482-13-55