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The Management of Cecal Volvulus

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Diseases of the Colon & Rectum

Abstract

Cecal volvulus is second only to sigmoid volvulus in its frequency of occurrence. Diagnostic doubt is not uncommon in cecal volvulus; nonoperative decompression is rarely achievable; and if gangrene supervenes, mortality rises appreciably. Resection is mandatory for gangrene and a grossly distended, thin-walled cecum. Cecopexy and cecostomy seem less-effective and more morbid options than resection and anastomosis for viable bowel. However, their role needs reappraisal in the light of advances in minimally invasive techniques.

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Authors and Affiliations

    Authors
    1. T. E. Madiba M.Med.(Chir), F.C.S.(SA)
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    2. S. R. Thomson Ch.M., F.R.C.S.
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    3. James M. Church M.D.
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    Madiba, . ., Thomson, . . & Church, . . The Management of Cecal Volvulus. Dis Colon Rectum 45, 264–267 (2002). https://doi.org/10.1007/s10350-004-6158-4

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    • DOI: https://doi.org/10.1007/s10350-004-6158-4

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