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Citation:
Kearns C, Niknejad M, Walizai T, Cascade stomach. Reference article, Radiopaedia.org (Accessed on 21 Jan 2025) https://doi.org/10.53347/rID-180015
A cascade stomach, also called a cup and spill configuration, is an anatomic variant of the stomach involving an angulation separating the fundus and body of the stomach without twisting around the gastric mesenteries. It is named for its appearance on contrast swallow, where contrast may fill the proximal stomach before spilling over to fill the distal stomach 1.
It was initially thought to relate to pathology that distorts the stomach but is also recognized in the absence of causative pathology and may be congenital 2,3.
It is important to distinguish it from a volvulus and for surgeons to be aware of it when planning gastric surgery, particularly before a bariatric procedure.
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1. Gulsen M, Koruk I, Dogan M, Beyazit Y. Diagnostic Accuracy of Cascade Stomach by Upper Gastrointestinal Endoscopy in Patients with Obscure Symptoms: A Multi-Center Prospective Trial. Clin Res Hepatol Gastroenterol. 2011;35(6-7):489-93. doi:10.1016/j.clinre.2011.03.004 - Pubmed
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2. Keller R, Khilnani M, Wolf B. Cascade Stomach. AJR Am J Roentgenol. 1975;123(4):746-54. doi:10.2214/ajr.123.4.746 - Pubmed
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3. Kusano M, Hosaka H, Moki H et al. Cascade Stomach is Associated with Upper Gastrointestinal Symptoms: A Population‐based Study. Neurogastroenterology Motil. 2012;24(5):451-5. doi:10.1111/j.1365-2982.2012.01876.x - Pubmed
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