21. Strangulation and necrosis commonly occur with organoaxial gastric volvulus and have been reported in 5 28 % of cases. 22. Volvulus occurs when a portion of the bowel twists around its mesentery, which can lead to obstruction and infarction.23. Acute volvulus often requires immediate surgical intervention to untwist the affected segment of bowel and possibly resect any unsalvageable portion. 24. In an organoaxial gastric volvulus , the stomach rotates around an axis that connects the gastroesophageal junction and the pylorus. 25. This type of gastric volvulus makes up the remainder of cases and is usually observed in patients with chronic volvulus. 26. This type of gastric volvulus makes up the remainder of cases and is usually observed in patients with chronic volvulus . 27. During the summer of 2011, G�ssner had to undergo an emergency intestinal operation after being diagnosed with a volvulus . 28. Miriam died suddenly in 2001, of complications following a volvulus of the fundus, after four days in intensive care. 29. A gastrostomy can also be used to treat volvulus of the stomach, where the stomach twists along one of its axes. 30. In the late stage of gastric volvulus , strangulation of the blood supply can result in progressive ischemic ulceration or mucosal fissuring.
