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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
PubMed
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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.

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  • 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.