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Colonic volvulus. The Army Medical Center experience 1983-1987.

D A Geer1, G Arnaud, A Beitler

  • 1Department of Surgery, Kimbrough Army Community Hospital, Fort Meade, Maryland.

The American Surgeon
|May 1, 1991
PubMed
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Colonic volvulus, a serious condition with high mortality, often faces diagnostic delays and complications. This review offers guidelines for diagnosis and treatment based on Army Medical Center patient data.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Clinical Medicine

Background:

  • Colonic volvulus, first described in 1836, remains a significant cause of mortality despite surgical advancements.
  • High mortality rates are associated with delayed diagnosis, complications, and concurrent systemic diseases.
  • Treatment strategies, especially elective resection after nonoperative reduction, are subjects of ongoing debate.

Purpose of the Study:

  • To review the experience with colonic volvulus at Army Medical Centers between 1983 and 1987.
  • To analyze presenting signs and symptoms in a cohort of 54 patients.
  • To compare Army Medical Center findings with existing surgical literature and provide diagnostic and treatment guidelines.

Main Methods:

  • Retrospective review of 54 colonic volvulus cases diagnosed at eight Army Medical Centers from 1983 to 1987.

Related Experiment Videos

  • Analysis of patient demographics, clinical presentation, diagnostic methods, and treatment outcomes.
  • Comparative analysis with published surgical literature on colonic volvulus.
  • Main Results:

    • Fifty-four patients diagnosed with colonic volvulus were identified.
    • Presenting signs and symptoms were documented and analyzed.
    • The study provides a comparison of Army patient data with broader surgical literature.

    Conclusions:

    • Delayed diagnosis and co-existing systemic diseases contribute to high mortality in colonic volvulus.
    • Guidelines for the diagnosis and treatment of colonic volvulus are proposed based on the reviewed experience.
    • The role of elective resection following nonoperative reduction warrants further consideration.