The Clinical or Radiographic Diagnosis of Gastroptosis: Still Relevant?

Anke J. M. van Welie, Willemijn M. Klein and Jos M. Th. Draaisma

The Clinical or Radiographic Diagnosis of Gastroptosis: Still Relevant?

Gastroptosis was a frequent diagnosis in former days, however in current practice it is a rare
diagnosis with uncertain etiology.

Gastroptosis is diagnosed by the downward displacement
of the stomach on an upper gastrointestinal study in a standing position, with the greater
curve of the stomach partly projecting below the level of the iliac crests.

The physiological position of the stomach varies between individuals, and also in one subject depending on many factors like stomach tone, the degree of fullness of the stomach,

the position of the subject and the strain of the abdominal muscles.

Gastroptosis may be associated with a variety of GI symptoms including epigastric
pain or discomfort, early satiety and acid brash.

After a meal patients with gastroptosis may

suffer from nausea and discomfort. Gastroptosis is also associated with delayed
gastric emptying. Delayed gastric emptying, altered antroduodenal motility, and impaired gastric accommodation have been proposed to explain symptoms of functional dyspepsia.

It is not known if gastroptosis itself leads to certain
symptoms or if gastroptosis and related symptoms are the result of another disease.

Symptoms related to gastroptosis are nonspecific and could be caused by many other conditions.

Gastro Open J. 2017; 2(1): 14-19. doi: 10.17140/GOJ-2-126

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