Gastropexy And Other Solutions For Managing Severe Gastric Ptosis

Gastric ptosis, also known as stomach prolapse, occurs when the stomach drops significantly within the abdominal cavity, sometimes even reaching the pelvis. This condition is often part of a broader issue of visceral ptosis and is commonly seen in tall, thin women, postpartum mothers, individuals who have undergone multiple abdominal surgeries, and those suffering from chronic digestive issues or progressive weight loss.

Those with mild cases may experience no symptoms at all. However, in more severe cases, individuals may suffer from a variety of gastrointestinal and psychological symptoms. These can include upper abdominal discomfort, early satiety, loss of appetite, nausea, belching, constipation, insomnia, and depression. Pain caused by the stretching of the mesentery may also be present. Additionally, due to delayed gastric emptying, symptoms such as gastric retention and chronic gastritis may develop. These symptoms often worsen after eating, prolonged standing, or physical exertion.

During a physical examination, a narrow subcostal angle (less than 90 degrees) is often observed. When standing, pulsation of the abdominal aorta may be clearly felt in the upper abdomen. Applying upward pressure from the back on the lower abdomen may relieve the sensation of heaviness in the upper abdomen. Moreover, the location of tenderness in the upper abdomen may vary depending on body position.

There is currently no immediate cure for gastric ptosis, and long-term comprehensive management is typically required. Here are several effective strategies:

1. Physical Therapy And Core Strengthening

Engaging in regular exercise to strengthen the abdominal muscles is crucial. Proper posture should also be maintained to prevent further displacement of the stomach.

2. Dietary And Lifestyle Adjustments

Adopting a diet of small, frequent meals with soft, easily digestible foods can help manage symptoms. Chewing food thoroughly, avoiding irritants, and preventing constipation are also important lifestyle considerations.

3. Medical Management

While there is no specific medication for gastric ptosis, symptomatic treatment under the guidance of an internal medicine specialist can provide relief.

4. Alternative Therapies

Traditional Chinese Medicine (TCM), including herbal remedies and acupuncture, has shown some effectiveness in treating gastric ptosis by improving gastrointestinal motility and overall digestive function.

5. Surgical Intervention

In severe cases, surgical procedures such as the Billroth II partial gastrectomy may be considered. This surgery reduces stomach volume, minimizes gastric retention, and restores the stomach to its normal anatomical position, thereby alleviating symptoms and improving gastric emptying.

By combining these approaches, individuals suffering from gastric ptosis can experience significant symptom relief and improved quality of life. Always consult with a healthcare professional to determine the most appropriate treatment plan based on individual health status and severity of the condition.