Gastropexy: How Serious Is It?

Gastropexy, or a prolapsed stomach, is generally not considered a severe medical condition. It is primarily a morphological description referring to the downward displacement of the stomach. This occurs when the diaphragm's suspensory power is weakened, the ligaments that support the internal organs become loose, or there is a decrease in abdominal pressure and relaxation of the abdominal muscles. As a result, the greater curvature of the stomach may descend into the pelvic cavity when standing, and the lowest point of the stomach's curvature drops below the line connecting the iliac crests. It may also be accompanied by a displacement of the duodenal bulb.

In a healthy individual, the stomach is located in the upper left part of the abdominal cavity, with its lowest point not extending below two finger-widths below the navel. This positioning helps maintain normal gastric function. The shape of the stomach often correlates with body type—tall, slender individuals may naturally have a more elongated stomach, which is not necessarily pathological. Therefore, gastropexy is typically not considered a serious condition.

If symptoms are present, treatment can be tailored to address them directly. Common symptoms include upper abdominal discomfort, dull pain, and indigestion, which can be managed similarly to chronic gastritis. Patients experiencing bloating or delayed gastric emptying may benefit from medications such as domperidone or metoclopramide. Those with concurrent constipation may find relief with the use of mosapride.

Physical activity plays a crucial role in managing gastropexy. Regular exercise can help prevent further descent of the stomach and improve gastric tone and motility by strengthening the abdominal muscles and overall physical condition. Additionally, dietary adjustments are recommended, such as eating smaller, more frequent meals, consuming soft and easily digestible foods, and avoiding irritants. These changes can help prevent constipation, aid digestion, and reduce feelings of abdominal discomfort and bloating.