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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
Objective:
To review the incidence of volvulations in our workplace, to study the procedures employed in its treatment, and to discuss our results during the last 20 years.
Material And Methods:
A series of colonic volvulus treated between 1978 and 1998 at one hospital is presented.
Results:
We reviewed 41 cases. Volvulus locations are: sigmoid colon: 21, caecum: 17, transverse colon: 2, and splenic flexure: 1. Mortality rates according to the type of volvulus and type of operative procedure is analyzed. Four cases of volvulus recurrence (9%).
Conclusions:
Treatment guidelines for the approach to colonic volvulus are presented.