Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
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Gastric volvulus is an abnormal rotation of the stomach around its axis. The acute form is a surgical emergency, which doesn't tolerate any therapeutic delay. We report on a case in a young girl, revealed by painful epigastric mass and distended gastric bubble on abdominal X-ray. ⋯ The clinical picture of gastric volvulus is characterised by the Borchardt triad of symptoms: upper abdominal pain, vomiting and difficulty to pass a nasogastric tube. The gastrointestinal barium series and CT-scan help to confirm the diagnosis. As was demonstrated in this case, the treatment is surgical by reducing the volvulus and fixing the stomach to prevent recurrence.
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Oral rehydration therapy: Guidelines for the treatment of diarrhoea endorsed the use of ORT for the treatment of mild to moderate dehydration secondary to diarrhoea. Despite these recommendations, surveys demonstrate that many physicians do not comply with them. It took nearly 20 years after the successful use of ORT in developing countries for physicians in other countries to accept and use this treatment.