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Related Experiment Videos

Small bowel volvulus: a review.

O Iwuagwu1, G T Deans

  • 1Stockport Unit for Minimally Invasive Therapy, Stepping Hill Hospital, U.K.

Journal of the Royal College of Surgeons of Edinburgh
|June 18, 1999
PubMed
Summary
This summary is machine-generated.

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Small bowel volvulus is a rare surgical emergency. Prompt diagnosis and surgical intervention are crucial to prevent bowel infarction, with CT scans aiding diagnosis.

Area of Science:

  • Gastroenterology and Surgical Emergency Medicine

Background:

  • Small bowel volvulus is a rare condition with varied etiology, often primary in Africa/Asia and secondary to predisposing factors in Western countries.
  • It presents as a life-threatening surgical emergency requiring prompt management to avoid bowel infarction.

Purpose of the Study:

  • To highlight the importance of early diagnosis and surgical intervention in managing small bowel volvulus.
  • To discuss diagnostic modalities and treatment options for small bowel volvulus.

Main Methods:

  • Review of clinical presentation, diagnostic approaches, and management strategies for small bowel volvulus.
  • Emphasis on the role of computerised tomography (CT) scanning in diagnosis.

Main Results:

  • Central abdominal pain resistant to analgesia is a key diagnostic symptom.

Related Experiment Videos

  • CT scanning is valuable for diagnosing small bowel volvulus.
  • Treatment varies based on bowel viability: resection for infarction, with options like resection, fixation, or derotation for viable bowel.
  • Conclusions:

    • Early diagnosis and surgical treatment are essential for preventing bowel infarction in small bowel volvulus.
    • Computerised tomography (CT) scanning plays a significant role in diagnosis.
    • Optimal management for viable small bowel volvulus remains a subject of debate, with resection, fixation, or derotation as alternatives.