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This mandated a damage-control approach for the patient\u2019s safety entailing a limited-sleeve gastrectomy and laparostomy formation. Stabilisation in the intensive care unit allowed for a safer return to the operating room. On second look 24\u2009hours later, previously ischaemic non-viable-looking portions of the stomach had recovered their blood supply. The patient was discharged 31 days postoperatively after recovering from the operations, postoperative wound infections and pleural effusions.<\/jats:p>","DOI":"10.1136\/bcr-2017-223060","type":"journal-article","created":{"date-parts":[[2018,5,15]],"date-time":"2018-05-15T05:25:18Z","timestamp":1526361918000},"page":"bcr-2017-223060","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Second-look laparostomy for perforated gangrenous gastric volvulus to prevent total gastrectomy"],"prefix":"10.1136","volume":"2018","author":[{"given":"Paul K","family":"Okeny","sequence":"first","affiliation":[{"name":"Surgery and Critical care, Furness General Hospital, Barrow-in-Furness, UK"},{"name":"Surgery, Gulu Regional Referral Hospital, Gulu, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Abbassi","sequence":"additional","affiliation":[{"name":"Surgery and Critical care, Furness General Hospital, Barrow-in-Furness, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Warsi","sequence":"additional","affiliation":[{"name":"Surgery and Critical care, Furness General Hospital, Barrow-in-Furness, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,5,15]]},"reference":[{"key":"2025082703272350000_2018.may14_2.bcr-2017-223060.1","unstructured":"Berti A . singulare attorcigliamento delle' esofago col duodeno seguita da rapida morte. 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