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Management of colonic volvulus.
1Division of Colorectal Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Clinics in Colon and Rectal Surgery
|December 3, 2013
Summary
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.
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