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Colonic volvulus

F A Frizelle1, B G Wolff

  • 1Mayo Clinic, Rochester, Minnesota, USA.

Advances in Surgery
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

Sigmoid volvulus, a common cause of bowel obstruction, requires better management for reduced mortality. While nonoperative decompression is often possible, surgery may be needed for gangrenous bowel and to prevent recurrence.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Abdominal Surgery

Background:

  • Volvulus is a complex condition with multiple causes, frequently leading to large bowel obstruction globally.
  • Primary prevention of volvulus remains elusive, highlighting the critical need for improved management strategies to decrease mortality rates.

Purpose of the Study:

  • To review the current understanding of sigmoid volvulus management.
  • To emphasize the importance of individualized treatment and clinical judgment in addressing this condition.

Main Methods:

  • Review of existing literature on sigmoid volvulus.
  • Analysis of diagnostic and therapeutic approaches.

Main Results:

  • Nonoperative decompression is effective for most sigmoid volvulus cases.

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  • Surgical intervention is necessary for gangrenous bowel and recurrence prevention.
  • Individualized treatment is crucial, especially for medically compromised patients.

    • Conclusions:

    • Effective management of sigmoid volvulus hinges on a combination of nonoperative and operative strategies.
    • Clinical judgment plays a vital role in the diagnosis and successful management of sigmoid volvulus.
    • Improving management protocols is key to reducing mortality associated with this common cause of bowel obstruction.