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African Journal of Paediatric Surgery :... 2021Cecal volvulus is a rare complication of malfixation anomalies and intestinal malrotation in children. Only few cases have been reported. The rarity of the condition,...
Cecal volvulus is a rare complication of malfixation anomalies and intestinal malrotation in children. Only few cases have been reported. The rarity of the condition, frequently leads to diagnostic delay and complications. The best option for cecal volvulus repair remains unclear. Our aim is to increase the awareness of surgeons about cecal volvulus and to discuss its management.
Topics: Cecal Diseases; Child; Delayed Diagnosis; Humans; Intestinal Obstruction; Intestinal Volvulus
PubMed: 34341205
DOI: 10.4103/ajps.AJPS_43_20 -
The American Surgeon Dec 2023
Topics: Humans; Intestinal Volvulus; Digestive System Surgical Procedures; Retrospective Studies
PubMed: 36031935
DOI: 10.1177/00031348221124322 -
Clinical Gastroenterology and... Sep 2018
Topics: Aged; Female; Hernia, Diaphragmatic; Humans; Intestinal Volvulus; Stomach Diseases
PubMed: 30005974
DOI: 10.1016/j.cgh.2017.10.035 -
Clinical Gastroenterology and... Jul 2022
Topics: Colon, Sigmoid; Humans; Intestinal Volvulus; Sigmoid Diseases
PubMed: 35131344
DOI: 10.1016/j.cgh.2022.01.052 -
Colorectal Disease : the Official... Jul 2010The current status of sigmoid volvulus (SV) was reviewed to assess trends in management and to assess the literature. (Review)
Review
AIMS
The current status of sigmoid volvulus (SV) was reviewed to assess trends in management and to assess the literature.
METHOD
The literature on SV was retrieved using PubMed, Embase, Scopus, Pakmedinet, African Journals online (AJOL), Indmed and Google scholar. These databases were searched for text words including 'sigmoid', 'colon' and 'volvulus'. Relevant nonindexed surgical journals published from endemic countries were also manually searched. We focused on original articles published within the last 10 years; but classical references prior to this period were also included. Seminal papers published in non-English languages were also included.
RESULTS
Sigmoid volvulus is a leading cause of acute colonic obstruction in South America, Africa, Eastern Europe and Asia. It is rare in developed countries such as USA, UK, Japan and Australia. Characteristic geographic variations in the incidence, clinical features, prognosis and comorbidity of SV justify recognition of endemic and sporadic subtypes. Controversy on aetiologic agents can be minimized by classifying them into 'predisposing' and 'precipitating' factors. Modern imaging systems, although more effective than plain radiographs, are yet to gain popularity. Emergency endoscopic reduction is the treatment of choice in uncomplicated patients. But it is only a temporizing procedure, and it should be followed in most cases by elective definitive surgery. Resection of the redundant sigmoid colon is the gold standard operation. The role of newer nonresective alternatives is yet to be ascertained. Although emergency resection with primary anastomosis (ERPA) has been controversial in the past, it is now increasingly accepted as a safe option with superior results. Management in elderly debilitated patients is extremely difficult. Paediatric SV significantly differs from that in adults. SV is frequently associated with neuropsychiatric diseases, diabetes mellitus and Chagas disease. The overall mortality in recent studies is < 5%.
CONCLUSION
There are almost no randomised controlled studies. According to the grading system of Oxford Center for Evidence Based Medicine (CEVM), available published evidence is at level 4. The recommendations resulting form this review are of 'C' grade.
Topics: Animals; Diagnostic Imaging; Global Health; Humans; Incidence; Intestinal Volvulus; Sigmoid Diseases; Sigmoidoscopy
PubMed: 20236153
DOI: 10.1111/j.1463-1318.2010.02262.x -
ANZ Journal of Surgery Apr 2021
Topics: Acute Disease; Appendicitis; Digestive System Abnormalities; Humans; Intestinal Volvulus
PubMed: 32960483
DOI: 10.1111/ans.16309 -
Gastrointestinal Endoscopy Clinics of... Jan 2006Sigmoid volvulus is the third most common cause of colonic obstruction in the United States after cancer and diverticulitis. Etiologic factors include anatomic... (Review)
Review
Sigmoid volvulus is the third most common cause of colonic obstruction in the United States after cancer and diverticulitis. Etiologic factors include anatomic variation, chronic constipation, neurologic disease, and megacolon. Management of sigmoid volvulus involves relief of obstruction and the prevention of recurrent attacks; the outcome depends on the population and selection of patients. Although volvulus is uncommon, it may be encountered during pregnancy and is a condition that poses significant risk to both mother and fetus requiring a management strategy that varies with each trimester.
Topics: Decompression, Surgical; Endoscopy, Gastrointestinal; Female; Humans; Intestinal Volvulus; Pregnancy; Pregnancy Complications; Sigmoid Diseases; Sigmoidoscopy
PubMed: 16546032
DOI: 10.1016/j.giec.2006.01.010 -
Prenatal Diagnosis Feb 2022To conduct a review of the literature on foetal volvulus with emphasis on prenatal imaging, pregnancy characteristics and clinical outcomes. (Review)
Review
OBJECTIVE
To conduct a review of the literature on foetal volvulus with emphasis on prenatal imaging, pregnancy characteristics and clinical outcomes.
METHODS
A review of all published cases of foetal volvulus diagnosed prenatally and indexed in Medline, EBSCOhost, CINAHL, SOCIndex and Healthy Policy Reference Centre. Studies without antenatal sonographic signs of foetal volvulus and without a postpartum surgical diagnosis were excluded. Data were analysed for frequencies and distributions and tested for statistical significance.
RESULTS
Eighty-eight cases of foetal volvulus were identified from 58 published case reports/series. The most common ultrasound findings were dilated bowel/stomach (77.3%), polyhydramnios (30.7%) and whirlpool/snail sign (28.4%). Median gestation at diagnosis was 31.9 weeks (IQR 27-34) and mean gestation at delivery was 34.5 weeks (SD 2.8). Underlying aetiology included intestinal malrotation (15.9%), cystic fibrosis (14.8% of all cases, 32.5% of tested cases) and abnormal mesenteric fixation (12.5%). Complications included intestinal atresia (36.4%) and foetal anaemia (9.1%). The overall perinatal mortality rate was 14.5%.
CONCLUSION
Foetal volvulus is a rare condition with high rates of preterm birth and perinatal mortality. Intestinal malrotation and cystic fibrosis are common predisposing causes, although the majority are idiopathic. Bowel and/or gastric dilatation is by far the most common sonographic finding.
Topics: Female; Humans; Infant, Newborn; Intestinal Volvulus; Perinatal Mortality; Pregnancy; Premature Birth; Prognosis; Ultrasonography, Prenatal
PubMed: 34981841
DOI: 10.1002/pd.6083 -
Rozhledy V Chirurgii : Mesicnik... 2023Bariatric surgery is a widespread branch of surgery because of the increase in obesity in population. It is one way to achieve long-term weight loss effect in obese...
INTRODUCTION
Bariatric surgery is a widespread branch of surgery because of the increase in obesity in population. It is one way to achieve long-term weight loss effect in obese patients. Like other surgeries, bariatric surgery has many complications including ileus and volvulus in small intestine. It is an acute state in surgery and usually leads to a revision surgery.
CASE REPORT
58 years old woman who underwent mini-gastric bypass in 2014. She was admitted to our department because of manifestation of ileus on the second day after TEP of the hip joint. There was a typical sign of volvulus on the CT scan. She was operated on the same day. The reinsertion of enteroenteroanastomosis and denotation of the small intestine, desufflation of the large intestine, and reconstruction of new enteroenteroanastomosis was needed. After the surgery, the patient was without any complications. The bowel function recovery was slower postoperatively.
CONCLUSION
Diagnosis of volvulus is not easy because of non-specific clinical symptoms. In this case report, the volvulus occurred 8 years after the primary surgery. Symptoms developed because of paralytic ileus after hip replacement.
Topics: Female; Humans; Middle Aged; Intestinal Volvulus; Bariatric Surgery; Gastric Bypass; Obesity; Intestinal Obstruction; Ileus; Obesity, Morbid
PubMed: 37344209
DOI: 10.33699/PIS.2023.102.3.139-141 -
The Journal of Emergency Medicine Oct 2020
Topics: Humans; Intestinal Obstruction; Intestinal Volvulus; Intestine, Small
PubMed: 32771322
DOI: 10.1016/j.jemermed.2020.06.067