Abstract
Gastrectasia, Ectasia, or Acute gastric dilatation is a surgical emergency. Historically it was associated with binge eating, branded as gluttony, wolf eating and today goes by a refined name BED or binge eating disorder. Myriad in spectrum presentation the triggers continue to be the same a history of psychiatric disorders like anorexia nervosa, bulimia, and psychogenic polyphagia (1), (2) or following surgical procedure like fundoplication, pyloric stenosis. A masquerader in abdomen emergencies with abdominal pain and vomiting in the initial stages to shock & multiorgan collapse in later presentation. If not picked early the consequences disastrous. The mortality and morbidity from gastric dilatation is reported at 80% to 100% (1), (2), (21).
Highlights
The craving of man for food is an old and intimate one
Volumes greater than four liters equivalent to intragastric pressures of 20mmg impair intramural blood flow leading to focal necrosis of the inner mucosal lining with tears that if prolonged to ischemia necrosis and serosal perforation [14], [23], [38]
A combination of binge eating in a patient with compromised gastric distension abdomen
Summary
Dr.UwaisRiazUlHasan M.Med, Dr.Khathija Hasan M.Med, Dr.Farooq Ahmed Qureshi MS, Dr Victor Effiong Obong M.B.B.Ch, MWACS, Dr.Okorie Christian Chima M.B.B.Ch, FWACS, FMCS, Dr Amith Ibrahim M.D,Dr Abdul Aziz Al Nami M.B.B.S, Dr Ali Ibrahim AlShaqaqiq M.B.B.S, Dr.Mohammad Abdul Majeed Alghadeer M.B.B.S, Dr Mohammed Abdullah Al Khalaf M.B.B.S, Dr Abdullah Al Marzooq M.B.B.S, Dr Malak Radhi Al Aithan M.B.B.S, Dr Fatimah Mofeed Almosabh M.B.B.S, Dr Stevan Atiyota M.B.B.S, Dr Khalid Elterifi ElBaher Elmhadi M.B.B.S, Dr.ShehlaRiazUlHasan Phd., Dr Moath AbdulAziz AlMasoud M.D, Dr Noura Al Dossary.
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