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.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
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.
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.
Atamanalp SS. Treatment of sigmoid volvulus: a single-center experience of 952 patients over 46.5 years. Tech Coloproctol. 2013;17(5):561–9.
Kapadia MR. Volvulus of the small bowel and Colon. Clin Colon Rectal Surg. 2017;30(1):40–5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Kulaylat, A.S., Stewart, D.B. (2019). Management of Colonic Volvulus. In: Docimo Jr., S., Pauli, E. (eds) Clinical Algorithms in General Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-98497-1_58
Download citation
DOI: https://doi.org/10.1007/978-3-319-98497-1_58
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-98496-4
Online ISBN: 978-3-319-98497-1
eBook Packages: MedicineMedicine (R0)