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Management of colonic volvulus

Daniel Gingold1, Zuri Murrell

  • 1Division of Colorectal Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

Clinics in Colon and Rectal Surgery
|December 3, 2013
PubMed

Insights

Colonic volvulus, a leading cause of bowel obstruction, affects the colon, often the sigmoid and cecal regions. This review covers its history, risk factors, epidemiology, diagnosis, and treatment options.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Colonic volvulus is a significant global cause of large bowel obstruction.
  • It represents the third most common etiology of bowel obstruction worldwide, accounting for approximately 15% in the United States.

Purpose of the Study:

  • To provide a comprehensive review of colonic volvulus.
  • To discuss its historical context, predisposing factors, epidemiology, diagnostic modalities, and therapeutic strategies.

Main Methods:

  • Literature review of historical and current medical texts.
  • Synthesis of information regarding the pathophysiology and clinical presentation of colonic volvulus.

Main Results:

  • Colonic volvulus has been recognized for centuries, with documented cases dating back to Hippocrates.
  • The sigmoid and cecal colon are the most frequently affected sites.
  • The article details diagnostic approaches and outlines diverse treatment options.

Conclusions:

  • Understanding the history and predisposing factors is crucial for managing colonic volvulus.
  • A thorough review of epidemiology, diagnosis, and treatment ensures optimal patient care for this condition.

Keywords:
cecopexydecompressionfixationresectionvolvulus

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