Gastroptosis Diagnosis Methods

To clinically determine the presence of gastroptosis, diagnostic tools such as X-rays, CT scans, and gastroscopy can be used for confirmation. The stomach typically maintains a relatively stable position in the upper middle abdomen due to the fixed locations of the cardia and pylorus, along with the coordinated action of the diaphragm, ligaments, gastric tension, and intragastric pressure. When this balance is disrupted, the stomach may shift downward, sometimes even descending into the pelvis, a condition known as gastroptosis.

X-ray examination is usually performed with the patient in a standing position and is used to classify gastroptosis into three degrees: mild, moderate, and severe. In mild cases, the angular notch of the stomach is located 1–5 cm below the iliac crest line. For moderate gastroptosis, the angular notch falls 5–10 cm below the iliac crest line. When the angular notch is more than 10 cm below this line, it is considered severe gastroptosis.

Individuals suffering from this condition may experience a range of symptoms, including abdominal bloating, belching, nausea, vomiting, and in some cases, constipation. These symptoms often worsen after eating or during prolonged standing and may improve when lying down. Early diagnosis and appropriate management are crucial to alleviating discomfort and preventing further complications.