Gastropexy and Life Expectancy: Understanding the Impact of a Prolapsed Stomach

A prolapsed stomach, also known as gastric ptosis, is a benign condition that does not significantly affect a person's life expectancy. In fact, most individuals with this condition can live long and healthy lives. The primary cause of gastric ptosis is the weakening or loosening of the ligaments that support the stomach, such as the hepatogastric ligament, splenogastric ligament, and gastrocolic ligament. When these ligaments become loose, the stomach can descend from its normal position, sometimes even reaching the pelvic area in severe cases.

This condition is most commonly seen in individuals with a slender or lean body type. Patients may experience symptoms such as bloating, indigestion, acid reflux, and impaired gastric motility. Diagnosis typically involves a barium meal test, where imaging shows the lower edge of the stomach located below the iliac crest when the patient is in a standing position.

Conservative treatment is usually the first approach in managing gastric ptosis. Patients are advised to avoid standing immediately after eating, as gravity can worsen the displacement of the stomach and intensify symptoms like indigestion. Eating smaller, more frequent meals throughout the day can also help reduce discomfort. For those experiencing delayed gastric emptying, medications such as domperidone or mosapride can be prescribed to improve gastric motility.

In more severe cases where symptoms significantly impact quality of life, surgical intervention may be considered. This typically involves a procedure called gastropexy, where the stomach is repositioned and secured to the abdominal wall to prevent further descent.

Maintaining a healthy weight, practicing proper posture after meals, and following a doctor-recommended diet can help manage the condition effectively. While gastric ptosis can cause discomfort and digestive issues, it is not life-threatening and can often be controlled with lifestyle changes and medical support.