Colon volvulus and the geriatric patient

Area of Science:

• Gastroenterology
• Geriatric Medicine

Background:

• Volvulus in the elderly is often associated with inactivity and pseudomegacolon.
• Sedative and psychotropic medications can impair gut neuromuscular function, increasing risk.
• Psychiatric issues, chronic illness, and institutionalization contribute to risk factors.

Purpose of the Study:

• To review the principles of managing volvulus in elderly patients.
• To highlight the role of colonoscopy in treatment.
• To emphasize the importance of early symptom recognition and clinical evaluation.

Main Methods:

• Review of existing literature on elderly volvulus management.
• Discussion of nonoperative and operative treatment strategies.
• Evaluation of colonoscopy as a therapeutic intervention.

Main Results:

• Colonoscopy is an established treatment for volvulus with clear indications.
• Delayed attention for volvulus in hospitalized elderly patients is noted.
• Mild symptoms like distention, pain, vomiting, and constipation warrant physician attention.

Conclusions:

• Physicians caring for geriatric patients must be vigilant for early volvulus symptoms.
• Clinical evaluation and abdominal imaging can prevent catastrophic outcomes.
• Prompt management, including potential colonoscopic intervention, is key.