[Verse 1]
Stomach twisting in the night, not a figure of speech —
Gastric volvulus, axis flipping out of reach
Organoaxial spins along the long axis line
Mesenteroaxial flips perpendicular, and that's the design
Borchardt's triad: pain, retching dry, can't pass the scope
Obstruction at the cardia, belly full of hope
Reduce and fix it, gastropexy holds the floor
Missed it? Ischaemia knocks upon a necrotic door
[Chorus]
Lo stomaco ci parla, ascolta il segno —
The stomach speaks in signs, decode with care and reign
Volvulus, hernia, bezoar, and the rest
Benign conditions, but they'll put your skills to test
Ascolta, impara — listen, learn the name
Every lesion has a story, nothing's quite the same
[Verse 2]
Paraesophageal hernia, types one through four
Type one's your sliding hiatal, nothing more
Two through four, the fundus herniates beside
Type four drags colon, stomach, organs for a ride
Repair it: mesh debated, wrap or don't wrap round
Fundoplication tightens, gastropexy holds ground
Recurrence haunts the surgeon if the hiatus gapes
So reinforce with mesh — though biosynthetic drapes
[Chorus]
Lo stomaco ci parla, ascolta il segno —
The stomach speaks in signs, decode with care and reign
Volvulus, hernia, bezoar, and the rest
Benign conditions, but they'll put your skills to test
Ascolta, impara — listen, learn the name
Every lesion has a story, nothing's quite the same
[Verse 3]
Gastroparesis — motility's gone rogue
Vagal nerve or diabetic, symptoms always vogue
Metoclopramide first, then erythromycin's push
Gastric electrical stimulation when you're past the rush
G-POEM — pyloromyotomy through the scope
Injecting botox, cutting muscle, giving hope
Gastrectomy's the last resort when all roads stall
Bezoars clog the outlet too — lactobezoar, hairball, all
[Bridge]
Now a rare word for the lexicon today —
Bezoar's cousin, phytobezoar — vegetable decay
Compressed, concremental — means compressed in stone
Endoscopic fragmentation breaks it from its throne
Mallory-Weiss tears at the junction, retching tears the lining
Dieulafoy, a tortuous submucosal vessel, mining
GAVE — watermelon stomach, stripes of ectatic veins
Menetrier's — rugal folds that swell like mountain chains
Protein-losing gastropathy, CCK driving the thickening
Fundic gland polyps, hyperplastic, adenomatous — reckoning
Caustic ingestion, grade the burn, don't scope too late
Stricture forms within the weeks — dilate, don't hesitate
[Chorus]
Lo stomaco ci parla, ascolta il segno —
The stomach speaks in signs, decode with care and reign
Volvulus, hernia, bezoar, and the rest
Benign conditions, but they'll put your skills to test
Ascolta, impara — listen, learn the name
Every lesion has a story, nothing's quite the same
[Outro]
Concremental — compressed solid, packed and dense —
That's your rare word, wear it, it makes clinical sense
Dal volvolo alla gastroparesi — ogni diagnosi conta
From volvulus to gastroparesis — every diagnosis counts