{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T14:51:14Z","timestamp":1781880674921,"version":"3.54.5"},"reference-count":16,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,7,22]]},"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>Acute massive gastric dilatation (AMGD) is a rare event which is usually underdiagnosed. It can occur due to multiple etiologies, including medical and surgical, or as a postoperative complication. We report a rare case of AMGD as a result of closed-loop obstruction of the stomach following feeding jejunostomy in a patient with carcinoma oesophagus. A high index of suspicion, early diagnosis and prompt management is the key to the successful treatment. To the best of our knowledge, this is the second case report of a closed-loop obstruction of the stomach leading to AMGD in published literature.<\/jats:p>","DOI":"10.1136\/bcr-2020-235943","type":"journal-article","created":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T02:35:28Z","timestamp":1599100528000},"page":"e235943","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Acute massive gastric dilatation as a result of closed-loop obstruction of stomach: an unusual and rare phenomenon"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8183-6840","authenticated-orcid":false,"given":"Oseen Hajilal","family":"Shaikh","sequence":"first","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Reddy","sequence":"additional","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3365-082X","authenticated-orcid":false,"given":"Uday Shamrao","family":"Kumbhar","sequence":"additional","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chilaka","family":"Suresh","sequence":"additional","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,9,2]]},"reference":[{"key":"2025082706465578000_13.9.e235943.1","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2016-218513","article-title":"Acute massive gastric dilatation causing ischaemic necrosis and perforation of the stomach","volume":"2017","author":"Moslim","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2025082706465578000_13.9.e235943.2","doi-asserted-by":"publisher","DOI":"10.1007\/s005950300068"},{"key":"2025082706465578000_13.9.e235943.3","first-page":"15","article-title":"Acute gastric dilation and ischemia secondary to small bowel obstruction","volume":"21","author":"Steen","year":"2008","journal-title":"Proc"},{"key":"2025082706465578000_13.9.e235943.4","doi-asserted-by":"crossref","DOI":"10.4103\/0974-2700.66564","article-title":"Acute idiopathic gastric necrosis, perforation and shock","volume":"3","author":"Vettoretto","year":"2010","journal-title":"J Emerg Trauma Shock"},{"key":"2025082706465578000_13.9.e235943.5","unstructured":"National Comprehensive Cancer Network . NCCN clinical practice guidelines in oncology (NCCN guidelines): esophageal and esophagogastric junction cancer, version 3.2015, 2015. 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