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The Role of Anatomical Dissection in Defining Colic and Small Bowel Artery Lymphovascular Bundles in the D3 Volume of Small and Large Bowel Mesentery
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Volvulus: small bowel and colon.

Elsa Valsdottir1, John H Marks

  • 1Lankenau Hospital and Institute for Medical Research, Wynnewood, Pennsylvania, USA.

Clinics in Colon and Rectal Surgery
|December 17, 2009
PubMed
Summary
This summary is machine-generated.

Intestinal volvulus, a surgical emergency, involves twisting of the small or large bowel. While often caused by malrotation in children, adults may experience it due to adhesions, with minimally invasive surgery offering good outcomes.

Keywords:
Volvulusbowel obstructionminimally invasive surgery

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Murine Ileocolic Bowel Resection with Primary Anastomosis
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Published on: October 29, 2014

Area of Science:

  • Gastroenterology
  • Surgical Emergencies
  • Abdominal Surgery

Background:

  • Intestinal volvulus is a critical surgical condition requiring prompt diagnosis and management.
  • Small bowel volvulus is more prevalent in pediatric populations, often linked to intestinal malrotation.
  • In adults, small bowel volvulus is less common and frequently associated with postoperative adhesions, while colonic volvulus, though rare, is more frequent than small bowel volvulus.

Purpose of the Study:

  • To review the causes, diagnostic challenges, and management strategies for intestinal volvulus.
  • To differentiate between small bowel and colonic volvulus in terms of etiology and presentation.
  • To highlight the role of modern surgical techniques in addressing intestinal volvulus.

Main Methods:

  • Review of existing literature on intestinal volvulus.
  • Analysis of etiological factors in pediatric and adult populations.
  • Comparison of radiographic findings for small bowel versus colonic volvulus.
  • Evaluation of surgical approaches, including minimally invasive techniques.

Main Results:

  • Small bowel volvulus is commonly secondary to malrotation in children and adhesive bands in adults.
  • Colonic volvulus, primarily involving the sigmoid colon due to redundant colon or cecal volvulus due to lack of fixation, is a rare cause of large bowel obstruction.
  • Radiographic diagnosis is specific for colonic volvulus but challenging for small bowel volvulus.
  • Minimally invasive surgery demonstrates positive outcomes in selected cases of intestinal volvulus.

Conclusions:

  • Intestinal volvulus necessitates urgent surgical intervention.
  • Etiology and presentation of volvulus vary significantly between pediatric and adult patients.
  • Advancements in minimally invasive surgery offer effective treatment options for selected patients with intestinal volvulus.