Related Experiment Videos
Colonic volvulus.
M Echenique Elizondo1, J A Amondaraín Arratíbel
1Basque Country University, School of Medicine, Donostia Hospital, Departament of Surgery, San Sebastián, Guipúzkoa, Spain. gepecelm@sc.ehu.es
Revista Espanola De Enfermedades Digestivas
|August 21, 2002
Summary
This study reviews 41 cases of colonic volvulus over 20 years, analyzing treatment outcomes and recurrence rates. It presents guidelines for managing this rare but serious condition.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Surgical Outcomes
Background:
- Colonic volvulus is a rare cause of bowel obstruction.
- Prompt diagnosis and surgical intervention are critical for favorable outcomes.
Purpose of the Study:
- To determine the incidence of colonic volvulus.
- To evaluate treatment procedures and outcomes.
- To establish management guidelines based on a 20-year experience.
Main Methods:
- Retrospective review of 41 colonic volvulus cases treated between 1978 and 1998.
- Analysis of volvulus location, surgical procedures, mortality rates, and recurrence.
Main Results:
- Sigmoid colon (21 cases) and caecum (17 cases) were the most common locations.
- Mortality rates varied by volvulus type and surgical approach.
- A 9% recurrence rate was observed (4 cases).
Conclusions:
- Effective treatment guidelines for colonic volvulus were developed.
- Surgical management strategies are crucial for reducing morbidity and mortality.