Advertisement

Management of Colonic Volvulus

  • Audrey S. Kulaylat
  • David B. StewartJr.Email author
Chapter

Abstract

In the United States, colonic volvulus most frequently involves the sigmoid colon (50–70%), followed by the cecum (20%), and patients present with increasing abdominal pain and distention that can evolve over a short period of time. In the absence of bowel ischemia or perforation, sigmoid volvulus can be initially managed with urgent endoscopic decompression, followed by elective sigmoid resection during the same hospital admission. Success at endoscopic decompression of cecal volvulus is lower than for sigmoid volvulus, and therefore cecal volvulus should be managed with a right colectomy.

Keywords

Sigmoid volvulus Cecal volvulus Decompressive colonoscopy 

References

  1. 1.
    Vogel JD, Feingold DL, Stewart DB, et al. Clinical practice guidelines for colon volvulus and acute colonic pseudo-obstruction. Dis Colon Rectum. 2016;59(7):589–600.CrossRefGoogle Scholar
  2. 2.
    Steele SR, Hull T, Read TE, Saclarides TJ, Senagore AJ, Whitelow CB, editors. The ASCRS textbook of Colon and Rectal surgery. 3rd ed. Arlington Heights: Springer; 2016.Google Scholar
  3. 3.
    Akcan A, Akyildiz H, Artis T, Yilmaz N, Sozuer E. Feasibility of single-stage resection and primary anastomosis in patients with acute noncomplicated sigmoid volvulus. Am J Surg. 2007;193(4):421–6.CrossRefGoogle Scholar
  4. 4.
    Atamanalp SS. Treatment of sigmoid volvulus: a single-center experience of 952 patients over 46.5 years. Tech Coloproctol. 2013;17(5):561–9.CrossRefGoogle Scholar
  5. 5.
    Kapadia MR. Volvulus of the small bowel and Colon. Clin Colon Rectal Surg. 2017;30(1):40–5.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryPenn State Milton S. Hershey Medical CenterHersheyUSA
  2. 2.Department of SurgeryBanner University Medical Center – TucsonTucsonUSA

Personalised recommendations