Gastropexy: Understanding the Condition and Its Management

Gastropexy refers to a medical condition where the stomach, particularly the lesser curvature, drops below the iliac crest line and may even descend into the pelvic cavity. This condition is commonly observed in individuals who are bedridden for extended periods, have poor physical health, are excessively thin, or in women who have had multiple pregnancies leading to abdominal wall laxity. In such cases, the ligaments within the abdominal cavity become loose, causing not only the stomach but also other abdominal organs to sag.

Patients with gastropexy often experience digestive issues such as bloating, belching, flatulence, and constipation due to reduced gastrointestinal motility. These symptoms are primarily linked to the displacement of the stomach, which affects normal digestive processes. Moreover, the condition may not be limited to the stomach alone, as other organs within the abdominal cavity may also experience similar displacement.

While gastropexy is difficult to completely cure, severe cases may require surgical intervention to reposition the stomach and tighten the surrounding ligaments. This procedure can help restore the stomach to its normal anatomical position and potentially alleviate symptoms. For less severe cases, medication can be used to manage symptoms and improve quality of life. These medications may include digestive enzymes to support digestion, mucosal protectants to safeguard the stomach lining, and prokinetic agents such as mosapride or itopride to enhance gastrointestinal motility.

In addition to these treatments, laxatives or stool softeners may be prescribed to address constipation, which is a common issue among gastropexy patients. By improving bowel movements and reducing abdominal discomfort, these therapies can significantly enhance the patient's overall well-being. Combining medical treatment with lifestyle adjustments, such as dietary changes and physical therapy, may further support symptom relief and improve long-term outcomes.