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Volvulus of the small intestine
R C Frazee1, P Mucha, M B Farnell
1Department of Surgery, Mayo Clinic, Rochester, Minnesota 55905.
Annals of Surgery
|November 1, 1988
Summary
Small intestine volvulus requires prompt surgical treatment to avoid serious complications. This study reviewed 57 cases, highlighting the importance of considering volvulus in patients with small bowel obstruction.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Surgical Pathology
Background:
- Volvulus, a twisting of the intestine, can lead to obstruction and ischemia.
- Small intestine obstruction is a common surgical presentation.
- Timely diagnosis and intervention are crucial for favorable outcomes.
Purpose of the Study:
- To analyze the incidence and outcomes of small intestine volvulus.
- To emphasize the necessity of early surgical intervention.
Main Methods:
- Retrospective review of patient records.
- Analysis of cases treated over a 10-year period at Mayo Clinic.
- Identification of primary and secondary volvulus cases.
Main Results:
- A total of 57 patients were treated: 6 with primary and 51 with secondary volvulus.
- The study period spanned 10 years.
- Secondary volvulus was more prevalent.
Conclusions:
- Small intestine volvulus should be a key consideration in patients presenting with small bowel obstruction.
- Early surgical intervention is vital to prevent intestinal ischemia and vascular compromise.