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Related Experiment Videos

Large bowel volvulus

W H Isbister1

  • 1Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia.

International Journal of Colorectal Disease
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

This study on colorectal volvulus found primary resection to be the best treatment. Acute cases with compromised bowel benefit most from a Hartmann

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Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Surgical Outcomes

Background:

  • Colorectal volvulus affects both genders, with a notable Maori to non-Maori ratio.
  • Sigmoid volvulus is the most common presentation.

Purpose of the Study:

  • To analyze outcomes of colorectal volvulus management over 15 years.
  • To determine optimal surgical strategies for different presentations of colorectal volvulus.

Main Methods:

  • Retrospective analysis of patients managed by a colorectal service.
  • Review of surgical procedures and patient outcomes, including emergency and elective admissions.

Main Results:

  • Primary resection is recommended for most colorectal volvulus cases.

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  • Hartmann's procedure is suggested for acute cases with compromised bowel.
  • Endoscopic reduction showed limited utility in this series.

    • Conclusions:

    • Surgical intervention, particularly primary resection, is crucial for effective colorectal volvulus management.
    • Tailoring surgical approach based on acute presentation and bowel compromise is essential.
    • Further research into endoscopic reduction efficacy may be warranted.