Acute gastric dilatation/es - Revision history

Ostermayer: Created page with "Estómago grande distendido compatible con dilatación gástrica"

2026-01-08T12:28:04Z

Created page with "thumb|Estómago grande distendido compatible con dilatación gástrica"

← Older revision		Revision as of 12:28, 8 January 2026
Line 59:		Line 59:
	==Manejo==		==Manejo==

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*Descompresión [[Special:MyLanguage/nasogastric tube\|nasogástrica]] o orogástrica es la terapia de primera línea
	*[[Special:MyLanguage/nasogastric tube\|~~Nasogastric~~]] ~~or orogastric decompression is first line therapy~~		**Típicamente se requiere un tubo especial grande que se coloca bajo la supervisión de un anestesiólogo en el quirófano
	**~~Typically a large special tube required which is placed under anesthesiologist supervision in OR~~		*Resucitación con líquidos y antibióticos intravenosos según sea necesario
	*~~Resuscitation with fluids and intravenous antibiotics as indicated~~		*Si las medidas conservadoras fallan o se sospecha infarto gástrico, la intervención quirúrgica es obligatoria
	*~~If conservative measures fail or gastric infarction suspected~~, ~~surgical intervention mandatory~~
	~~</div>~~


	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Destino==
	=~~=Disposition==~~
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*El paciente puede requerir descompresión quirúrgica de emergencia
	*~~Patient may require emergent surgical decompression~~		*Si hay mejora con la descompresión no operatoria, puede requerir admisión para monitoreo continuo
	*~~If improvement with non-operative decompression~~, ~~may require admission for continued monitoring~~
	~~</div>~~


	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Complicaciones==
	=~~=Complications==~~
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		No hay cambios necesarios, el texto ya está traducido al español.
	*[[Special:MyLanguage/ischemic bowel\|Bowel necrosis]] with or without perforation
	*[[Special:MyLanguage/Abdominal compartment syndrome\|Abdominal compartment syndrome]]
	*[[Special:MyLanguage/Sepsis\|Sepsis]]/[[Special:MyLanguage/Septic shock\|Septic shock]]
	*If gastric necrosis and/or perforation not recognized and treatment delayed, ~~mortality reaches 80%~~
	~~</div>~~

			*[[Special:MyLanguage/ischemic bowel\|Necrosis intestinal]] con o sin perforación
			*[[Special:MyLanguage/Abdominal compartment syndrome\|Síndrome del compartimento abdominal]]
			*[[Special:MyLanguage/Sepsis\|Sepsis]]/[[Special:MyLanguage/Septic shock\|Choque séptico]]
			*Si la necrosis gástrica y/o la perforación no son reconocidas y el tratamiento se retrasa, la mortalidad alcanza el 80%

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~
	~~==See Also==~~
	~~</div>~~

	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Ver también==
	*[[Special:MyLanguage/Bariatric surgery complications\|Bariatric surgery complications]]
	~~</div>~~

			*[[Special:MyLanguage/Bariatric surgery complications\|Complicaciones de la cirugía bariátrica]]

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~
	~~==External Links==~~
	~~</div>~~

			==Enlaces Externos==

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~
	~~==References==~~
	~~</div>~~

	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Referencias==

	<references/>		<references/>
	#Dewangan M, Khare MK, Mishra S, and Marhual JC. Binge eating leading to acute gastric dilation, ischemic necrosis and rupture. ''Journal of Clinical and Diagnostic Research." 2016; 10(3): 6-7.		#Dewangan M, Khare MK, Mishra S, and Marhual JC. Binge eating leading to acute gastric dilation, ischemic necrosis and rupture. ''Journal of Clinical and Diagnostic Research." 2016; 10(3): 6-7.
	#Lunca S, Rikkers A, and Stanescu A. Acute massive gastric dilation: Severe ischemia and gastric necrosis without perforation. ''Romanian Journal of Gastroenterology'. 2005; 14(3): 279-283.		#Lunca S, Rikkers A, and Stanescu A. Acute massive gastric dilation: Severe ischemia and gastric necrosis without perforation. ''Romanian Journal of Gastroenterology'. 2005; 14(3): 279-283.
	#Santos T, Freitas C, and Pinto-de-Sousa J. Gastric wall ischemia following massive gastric distention due to pyloric stenosis: a case report. ''Journal of Surgical Case Reports''. 2016; 2: 1-3.		#Santos T, Freitas C, and Pinto-de-Sousa J. Gastric wall ischemia following massive gastric distention due to pyloric stenosis: a case report. ''Journal of Surgical Case Reports''. 2016; 2: 1-3.
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~
	[[Category:GI]]		[[Category:GI]]
	~~</div>~~

Ostermayer: Created page with "===Etiologías==="

2026-01-08T12:23:38Z

Created page with "===Etiologías==="

← Older revision		Revision as of 12:23, 8 January 2026
Line 54:		Line 54:
	*Imágenes de CT si es seguro y está indicado		*Imágenes de CT si es seguro y está indicado

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		[[File:Acutegastricdilation.png\|thumb\|Estómago grande distendido compatible con dilatación gástrica]]
	[[File:Acutegastricdilation.png\|thumb\|~~Large distended stomach consistent with gastric dilation~~]]
	~~</div>~~


	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Manejo==
	=~~=Management==~~
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Ostermayer: Created page with "==Evaluación=="

2026-01-08T12:23:23Z

Created page with "==Evaluación=="

New page

<languages/>

==Antecedentes==

[[File:Anatomytool Muscles of stomach - English.jpg|thumb|Anatomía gástrica.]]
[[File:Stomach emptying into duodenum.png|thumb|'''Normal''' vaciamiento del estómago en el duodeno a través del esfínter pilórico.]]
*Evento raro
*Lleva invariablemente a la necrosis con o sin perforación
*Más comúnmente una complicación postoperatoria

===Etiologías===

*Complicación postoperatoria (fundoplicación de Nissen)
*Ocurre después de episodios de atracones, típicamente en aquellos con un trastorno alimentario
**[[Special:MyLanguage/Bulimia nervosa|Bulimia nervosa]]
**También polifagia psicogénica
*Obstrucción mecánica
**[[Special:MyLanguage/Pyloric stenosis|Pyloric stenosis]]
**Estricura/adherencias
**[[Special:MyLanguage/SMA syndrome|SMA syndrome]]
**[[Special:MyLanguage/Gastric volvulus|Gastric volvulus]]
*Otras etiologías incluyendo [[Special:MyLanguage/Diabetes mellitus|Diabetes mellitus]], [[Special:MyLanguage/trauma|trauma]], afecciones espinales

===Patogénesis===

*La presión intragástrica >20mmHg conduce a un flujo sanguíneo intramural deteriorado y necrosis mucosa
*Los volúmenes gástricos mayores a 4 litros llevan a desgarros mucosos regulares
*Los pacientes con trastornos alimentarios patológicos pueden tener volúmenes gástricos más grandes en la línea de base
*La dilatación gástrica masiva aguda es una forma extrema (presión intragástrica >30)

==Características clínicas==

*[[Special:MyLanguage/vomiting|Émesis]] es un síntoma típico en el 90% de los casos
*La incapacidad para vomitar se observa en la distensión masiva
*Otras características incluyen:
**Distensión abdominal
**[[Special:MyLanguage/Abdominal pain|Dolor abdominal]]
**Signos de [[Special:MyLanguage/peritonitis|peritonitis]] después de la perforación

==Diagnóstico diferencial==

{{Nausea and vomiting DDX}}

==Evaluación==

*Evaluación típica para el dolor abdominal
*Radiografía de tórax en posición vertical y [[Special:MyLanguage/acute abdominal series|serie abdominal aguda]] para evaluar la presencia de aire libre
**Puede identificar un estómago grande distendido en la radiografía
*Imágenes de CT si es seguro y está indicado

<div lang="en" dir="ltr" class="mw-content-ltr">
[[File:Acutegastricdilation.png|thumb|Large distended stomach consistent with gastric dilation]]
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
==Management==
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
*[[Special:MyLanguage/nasogastric tube|Nasogastric]] or orogastric decompression is first line therapy
**Typically a large special tube required which is placed under anesthesiologist supervision in OR
*Resuscitation with fluids and intravenous antibiotics as indicated
*If conservative measures fail or gastric infarction suspected, surgical intervention mandatory
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
==Disposition==
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
*Patient may require emergent surgical decompression
*If improvement with non-operative decompression, may require admission for continued monitoring
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
==Complications==
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
*[[Special:MyLanguage/ischemic bowel|Bowel necrosis]] with or without perforation
*[[Special:MyLanguage/Abdominal compartment syndrome|Abdominal compartment syndrome]]
*[[Special:MyLanguage/Sepsis|Sepsis]]/[[Special:MyLanguage/Septic shock|Septic shock]]
*If gastric necrosis and/or perforation not recognized and treatment delayed, mortality reaches 80%
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
==See Also==
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
*[[Special:MyLanguage/Bariatric surgery complications|Bariatric surgery complications]]
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
==External Links==
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
==References==
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
<references/>
#Dewangan M, Khare MK, Mishra S, and Marhual JC. Binge eating leading to acute gastric dilation, ischemic necrosis and rupture. ''Journal of Clinical and Diagnostic Research." 2016; 10(3): 6-7.
#Lunca S, Rikkers A, and Stanescu A. Acute massive gastric dilation: Severe ischemia and gastric necrosis without perforation. ''Romanian Journal of Gastroenterology'. 2005; 14(3): 279-283.
#Santos T, Freitas C, and Pinto-de-Sousa J. Gastric wall ischemia following massive gastric distention due to pyloric stenosis: a case report. ''Journal of Surgical Case Reports''. 2016; 2: 1-3.
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
[[Category:GI]]
</div>