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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Related Experiment Video

Updated: Dec 21, 2025

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Colonic volvulus after laparoscopic left colectomy.

C Moritz1, C Scheiwe1, B Malgras2

  • 1Department of digestive and endocrine surgery, Bégin Army training hospital, 69, avenue de Paris, 94160 Saint-Mandé, France.

Journal of Visceral Surgery
|May 12, 2020
PubMed
Summary
This summary is machine-generated.

Volvulus, a rare complication after laparoscopic left colectomy, may stem from excessive colon length and lack of adhesions. Computerized tomography (CT) is crucial for diagnosing concurrent small intestinal incarceration.

Keywords:
ColectomyColonLaparoscopyVolvulus

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Area of Science:

  • Gastroenterology and Surgical Oncology

Background:

  • Laparoscopic left colectomy involves mobilizing the colon, potentially increasing risks of postoperative complications.
  • Volvulus of the mobilized colon is an uncommon but serious adverse event following this procedure.

Observation:

  • Factors contributing to colonic volvulus include excessive length of the mobilized colon, lack of peritonization, and reduced adhesions from laparoscopy.
  • Small intestinal incarceration under the neo-mesocolon may represent an additional risk factor for volvulus.

Findings:

  • Computerized tomography (CT) is recommended for patients presenting with symptoms of colonic volvulus post-laparoscopic left colectomy.
  • CT imaging should specifically look for signs of small intestinal incarceration, a potential contributing factor.

Implications:

  • Prompt diagnosis via CT is essential for effective management of post-colectomy colonic volvulus.
  • While disincarcerating the small intestine is standard, the necessity of closing the associated mesocolic defect requires further investigation.