138 results match your criteria Volvulus Sigmoid and Cecal


Risk factors affecting failure of colonoscopic detorsion for sigmoid colon volvulus: a single center experience.

Int J Colorectal Dis 2021 Jan 29. Epub 2021 Jan 29.

Department of Surgery, Faculty of Medicine, Istanbul Aydin University, Istanbul, Turkey.

Purpose: Colonoscopic detorsion (CD) is the first treatment option for uncomplicated sigmoid volvulus (SV). We aim to examine the factors affecting the failure of CD.

Methods: The files of patients, treated after diagnosis of SV between January 2015 and September 2020, were retrospectively reviewed. Read More

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January 2021

Large bowel obstruction as a consequence of transverse colon volvulus: A case report.

Int J Surg Case Rep 2020 21;76:534-538. Epub 2020 Oct 21.

Department of Nursing, Jordanian Royal Medical Services (JRMS), Amman, Jordan. Electronic address:

Introduction: Transverse colon volvulus incidence is comparatively rare when compared to cecal and sigmoid volvulus. Its diagnosis is still challenging for the surgeon. Delay in the diagnosis of this condition carries high morbidity and mortality rates. Read More

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October 2020

Large-bowel obstruction: CT findings, pitfalls, tips and tricks.

Eur J Radiol 2020 09 8;130:109155. Epub 2020 Jul 8.

CHU MONTPELLIER, 391 avenue du doyen Gaston Giraud, 34000, Montpellier, France. Electronic address:

Large bowel obstruction (LBO) is associated with high morbidity and mortality due to delayed diagnosis and/or treatment. MDCT has become the standard of care to identify the site, severity, and etiology of obstruction. The goal of this review is fourfold. Read More

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September 2020

Characteristics of Intestinal Volvulus and Risk of Mortality in Malawi.

World J Surg 2020 07;44(7):2087-2093

Department of Surgery, University of North Carolina School of Medicine, 4008 Burnett Womack Building, Chapel Hill, NC, 7228, USA.

Background: Intestinal volvulus is a common cause of mechanical intestinal obstruction (MIO) in Africa. Sigmoid volvulus has been well characterized in both high-income and low-income countries, but there is also a predilection for small bowel volvulus in sub-Saharan Africa.

Methods: An analysis was performed of the Kamuzu Central Hospital Acute Care Surgery Registry from 2013 to 2019 on patients presenting with intestinal volvulus. Read More

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Acute Colonic Volvulus in a Mexican Population: A Case Series.

Ann Coloproctol 2020 Feb 18;36(1):48-53. Epub 2020 Feb 18.

Hospital Metropolitano "Dr. Bernardo Sepúlveda," Secretaria de Salud de Nuevo León, San Nicolás de los Garza, México.

Purpose: Colonic volvulus constitutes a significant cause of large bowel obstruction in adults. Most studies of colonic volvulus come from high endemic zones and are limited by the small number of patients. In our region, there is a shortage of studies concerning this disorder, and treatment of colonic volvulus remains controversial. Read More

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February 2020

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus.

Gastrointest Endosc 2020 02 30;91(2):228-235. Epub 2019 Nov 30.

Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA.

Colonic volvulus and acute colonic pseudo-obstruction (ACPO) are 2 causes of benign large-bowel obstruction. Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Read More

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February 2020

Comments on 'Colectomy for caecal and sigmoid volvulus: a national analysis of outcomes and risk factors for postoperative complications'.

Authors:
S S Atamanalp

Colorectal Dis 2020 03 26;22(3):346. Epub 2019 Nov 26.

Department of General Surgery, Faculty of Medicine, Ataturk University, 25040, Erzurum, Turkey.

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Response to "Comments on 'Colectomy for caecal and sigmoid volvulus: a national analysis of outcomes and risk factors for postoperative complications'".

Authors:
A R Bhama

Colorectal Dis 2020 03 6;22(3):347. Epub 2019 Dec 6.

Department of Colorectal Surgery, Cleveland Clinic, Cleveland, Ohio, USA.

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[A Case of Sigmoid Colon Cancer Accompanied by Intestinal Malrotation Treated by Laparoscopic Surgery].

Gan To Kagaku Ryoho 2019 Oct;46(10):1659-1661

Dept. of Surgery, Yokohama City University.

A 52-year-old man whose fecal occult blood test was positive was found to have type 2 sigmoid colon cancer by colonoscopy. On enhanced barium enema study, the cecum was in the pelvis, and the ascending colon was running medially in the abdomen. Enhanced CT scan of the abdomen revealed rotation of the superior mesenteric vein(SMV). Read More

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October 2019

Colectomy for caecal and sigmoid volvulus: a national analysis of outcomes and risk factors for postoperative complications.

Colorectal Dis 2019 Dec 15;21(12):1445-1452. Epub 2019 Jul 15.

Department of Colorectal Surgery, Cleveland Clinic Foundation, Digestive Disease and Surgery Institute, Cleveland, Ohio, USA.

Aim: Colonic volvulus is a common entity encountered by colorectal surgeons, but there are few reports of national data regarding postoperative outcomes. The aim of this study was to describe the volvulus population, 30-day outcomes following right- and left-sided colectomy and risk factors for postoperative complications.

Method: The American College of Surgeons National Surgical Quality Improvement Program Database from 2012 to 2015 was utilized to identify patients with the diagnosis of 'volvulus' who underwent right- or left-sided colectomy. Read More

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December 2019

Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction.

BMJ Case Rep 2019 Jan 28;12(1). Epub 2019 Jan 28.

Colorectal Surgery, Saint George Hospital, Kogarah, New South Wales, Australia.

Large-bowel obstruction caused by volvulus is potentially life threatening if not managed promptly. Sigmoid colon is the most common site of volvulus followed by caecum. Synchronous double colonic volvulus is an exceedingly rare entity, with only five cases published previously. Read More

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January 2019

Volvulus.

Surg Clin North Am 2018 Oct 31;98(5):973-993. Epub 2018 Jul 31.

Division of Trauma, Emergency General Surgery and Critical Care Surgery, Department of General Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE 68198-3280, USA.

Intestinal volvulus, regardless of location, is a rare disease process, but one that requires high suspicion and timely diagnosis given the increased incidence of intestinal necrosis and potential mortality. Most patients with intestinal volvulus require some form of surgical intervention. However, over the last few decades, the work-up and management of intestinal volvulus has changed given constant advancements in technology and patient care. Read More

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October 2018

Cecal volvulus caused by internal herniation after roux-en-y gastric bypass surgery.

J Surg Case Rep 2018 Sep 11;2018(9):rjy241. Epub 2018 Sep 11.

Department of Surgery, University of Florida, Gainesville, FL, USA.

Cecal volvulus is the rotation of a mobile cecum resulting in a large bowel obstruction. We present the case of a 55-year-old female who underwent a roux-en-y gastric bypass in 2003 and presented to the emergency department with worsening abdominal pain, distention and obstipation. Roentgenogram demonstrated a 14 cm colon suggestive of sigmoid volvulus, but CT scan showed rectal contrast abruptly ending in the distal transverse colon, mesenteric swirling and a distended cecum, consistent with cecal, rather than sigmoid, volvulus. Read More

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September 2018

Colonoscopic decompression of childhood sigmoid and cecal volvulus.

Turk J Gastroenterol 2018 03;29(2):221-225

Pediatric Digestive and Hepatic Research Center, Zabol University of Medical Sciences, Zabol, Iran; Clinical Research Development Unit, Zabol University of Medical Sciences, Amir-Al-Momenin Hospital, Zabol, Iran.

Cases of colonic volvulus in children are infrequently described in the literature. Here we describe the case of three patients with colonic volvulus. The first patient was a 10-year-old girl with abdominal dilation and pain and no bowel movement for 48 h. Read More

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[Volvulus of the cecum: a rare cause of intestinal occlusion: about two cases].

Pan Afr Med J 2017 19;28:162. Epub 2017 Oct 19.

Service de Chirurgie Viscérale A(C3), CHU Hassan II, Fès, Maroc.

The cecum is the second part of the colon that is most commonly affected by the volvulus after sigmoid colon and before left corner and the transverse colon. This condition occurs in patients with abnormally mobile cecum. Volvulus is characterized by torsion or tilt. Read More

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Pediatric colonic volvulus: A single-institution experience and review.

J Pediatr Surg 2017 Jun 2;52(6):1062-1066. Epub 2017 Feb 2.

Department of Pediatric Surgery, Nemours/Alfred I duPont Hospital for Children, Wilmington, DE, USA.

Background/purpose: Pediatric colonic volvulus is both rare and underreported. Existing literature consists only of case reports and small series. We present an analysis of cases (n=11) over 15 years at a single institution, focusing on workup and diagnosis. Read More

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Volvulus of the Small Bowel and Colon.

Clin Colon Rectal Surg 2017 Feb;30(1):40-45

Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Volvulus of the intestines may involve either the small bowel or colon. In the pediatric population, small bowel volvulus is more common, while in the adult population, colonic volvulus is more often seen. The two most common types of colonic volvulus include sigmoid and cecal volvulus. Read More

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February 2017

Synchronous volvulus of the sigmoid colon and caecum, a very rare cause of large bowel obstruction.

BMJ Case Rep 2016 Oct 14;2016. Epub 2016 Oct 14.

Department of Clinical Surgical Sciences, University of West Indies, St Augustine, Trinidad, San Fernando, Trinidad and Tobago.

Colonic volvulus usually occurs as a single event that can affect various parts of the colon. The usual sites affected being the sigmoid colon (75%) and the caecum (22%). The phenomenon of multiple sites simultaneously undergoing volvulus is an extremely rare occurrence. Read More

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October 2016

Management of the colonic volvulus in 2016.

J Visc Surg 2016 Jun 28;153(3):183-92. Epub 2016 Apr 28.

Service de chirurgie viscérale et digestive, centre hospitalier régional et universitaire, avenue de la Côte-de-Nacre, 14000 Caen, France.

Colonic volvulus is the third leading cause of colonic obstruction worldwide, occurring at two principal locations: the sigmoid colon and cecum. In Western countries, sigmoid volvulus preferentially affects elderly men whereas cecal volvulus affects younger women. Some risk factors, such as chronic constipation, high-fiber diet, frequent use of laxatives, personal past history of laparotomy and anatomic predispositions, are common to both locations. Read More

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Synchronic volvulus of splenic flexure and caecum: a very rare cause of large bowel obstruction.

BMJ Case Rep 2016 Jan 18;2016. Epub 2016 Jan 18.

Department of Clinical Surgical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago.

Colonic volvulus involving the caecum and splenic flexure of the colon is an extremely rare surgical entity and, as a result, it is rarely entertained as a differential diagnosis for large bowel obstruction. The most common site of volvulus is located at the sigmoid colon (75%) followed by caecum (22%). Rare sites of colonic volvulus include the transverse colon (about 2%) and splenic flexure (1-2%). Read More

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January 2016

[Synchronous sigmoideum- and caecum volvulus].

Ugeskr Laeger 2015 Sep;177(39):V04150346

This case presents a synchronous sigmoid- and caecum volvulus in a 69-year old man with Parkinson's disease, hypertension and previous history of colonic volvulus. On admission the patient had abdominal pain, nausea, vomiting and constipation. The CT scan showed a sigmoid volvulus with a dilated caecum. Read More

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September 2015

Cecal volvulus caused by endometriosis in a young woman.

BMC Surg 2015 Jun 24;15:77. Epub 2015 Jun 24.

Department of Gastrointestinal Surgery, Showa General Hospital, 8-1-1, Hanakoganei, Kodaira, Tokyo, 187-8510, Japan.

Background: Cecal volvulus is relatively rare. Moreover, to the best of our knowledge, a case of cecal volvulus caused by endometriosis has not yet been reported.

Case Presentation: A 41-year-old woman was admitted to our hospital with a 14-day history of subacute intermittent right lower quadrant abdominal pain. Read More

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Diagnostic and therapeutic applications of water-immersion colonoscopy.

World J Gastroenterol 2015 Jun;21(21):6451-9

Shinya Sugimoto, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo 160-8582, Japan.

Colonoscopy techniques combining or replacing air insufflation with water infusion are becoming increasingly popular. They were originally designed to reduce colonic spasms, facilitate cecal intubation, and lower patient discomfort and the need for sedation. These maneuvers straighten the rectosigmoid colon and enable the colonoscope to be inserted deeply without causing looping of the colon. Read More

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[Gastrointestinal tract volvulus: diagnosis and correlation between plain-film X-ray and multidetector computed tomography findings].

Radiologia 2015 Jan-Feb;57(1):35-43. Epub 2014 Apr 4.

Servicio de Radiología, Hospital Universitario Sant Joan de Déu, Barcelona, España.

Gastrointestinal volvuli cause processes that manifest as acute abdomen. Volvuli are important not because they are common, but rather because their possible complications can be severe. All types of volvuli share a common pathophysiology, which consists of intestinal obstruction in a closed loop that results in ischemia. Read More

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January 2017

Management of colonic volvulus.

Clin Colon Rectal Surg 2012 Dec;25(4):236-44

Division of Colorectal Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

Colonic volvulus is a common cause of large bowel obstruction worldwide. It can affect all parts of the colon, but most commonly occurs in the sigmoid and cecal areas. This disease has been described for centuries, and was studied by Hippocrates himself. Read More

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December 2012

Cecal volvulus.

Indian J Surg 2012 Dec 14;74(6):476-9. Epub 2012 Mar 14.

Department of General Surgery, Umraniye Education and Research Hospital, Adem Yavuz Str, 34766 Umraniye, Istanbul Turkey.

A twisted loop of the bowel and its mesentery on a fixed point is known as volvulus and it may arise more frequently in the sigmoid colon and cecum. Cecal volvulus as an uncommon cause of acute intestinal obstruction is axial twist of the cecum, ascending colon and terminal ileum around their mesenteric pedicles. Although there are many different etiologic and predisposing factors for cecal volvulus, exact etiology is most likely multifactorial in presence of mobile cecum. Read More

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December 2012

Colonic volvulus in the United States: trends, outcomes, and predictors of mortality.

Ann Surg 2014 Feb;259(2):293-301

*Department of Surgery, University of California Irvine Medical Center, Orange, CA; and †Department of Statistics, University of California Irvine, Irvine, CA.

Introduction: Colonic volvulus is a rare entity associated with high mortality rates. Most studies come from areas of high endemicity and are limited by small numbers. No studies have investigated trends, outcomes, and predictors of mortality at the national level. Read More

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February 2014

Simultaneous volvulus of the transverse and sigmoid colon: case report.

G Chir 2012 Oct;33(10):324-6

Department of Surgery, University Hospital of Ioannina, Ioannina, Greece.

Introduction: Volvulus of transverse colon is rare when compared to cecal and sigmoid volvulus. Cases involving simultaneous volvulus of the transverse colon and another colonic segment are extremely rare.

Case Report: We report a rare case of simultaneous sigmoid and transverse colon volvulus in a 82-year-old Caucasian female. Read More

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October 2012