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Reduction of cecal volvulus by multiple barium enemas
Gastrointestinal Radiology
|January 1, 1985
Summary
Barium enema can effectively treat cecal volvulus, a condition often thought untreatable by this method. Multiple administrations may be necessary, potentially avoiding surgery for some patients.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Cecal volvulus is a surgical emergency often requiring immediate intervention.
- The efficacy of non-surgical interventions like barium enema for cecal volvulus is debated.
Observation:
- A patient with cecal volvulus was treated using barium enema.
- Optimal results were achieved after multiple barium enema procedures.
Findings:
- Barium enema can be an effective treatment for cecal volvulus in select cases.
- Repeated barium enema administrations may be required for successful non-operative management.
Implications:
- Barium enema may offer a non-surgical alternative for a subset of patients with cecal volvulus.
- This approach could potentially reduce the need for exploratory laparotomy.
- Further research is warranted to define the criteria for successful non-operative management.