Year 2010 / Volume 102 / Number 4
Original
Management of colonic volvulus. Experience in 75 patients

pp. 239-248

C. Mulas, M. Bruna, J. García-Armengol and J. V. Roig

Abstract
Background: the diagnostic and therapeutic management of colonic volvulus remains nowadays controversial. The election of the type of surgery, its timing, or the use of non-operative decompression must be based on the experience of a multidisciplinary team, the clinical condition of the patient, and the type of volvulus.

Objectives: the purpose of this study is to review our experience and results in the treatment of patients with colonic volvulus.

Material and methods: we performed a retrospective study of patients diagnosed of colonic volvulus between January 1990
and September 2008 in our institution.

Results: we included a total of 75 patients with a mean age of 72.7 years and, in most cases, with associated comorbidities and constipation. The most frequently involved segment was sigmoid
colon (85.3%). A rectal tube insertion was used as the only therapeutic measure in 17 patients (22.4%), colonoscopic decompression in 17 (22.4%), and surgery in 41 patients (55.2%). Intestinal resection with primary anastomosis was the most common surgical option. Postoperative morbidity was 43%, being wound infections
the most frequent complication. In the group of non-surgical treatment morbidity was 26.4%, albeit with a higher and early rate of recurrences.

Conclusions: treatment of colonic volvulus present important morbidity and mortality rates, and its treatment must be individualized.
Resective surgery with primary anastomosis in clinically stable patients is the most appropriate therapeutic option, offering the lower recurrence rates.
Share Button
New comment
Comments
No comments for this article
Related articles
Citation tools
C. Mulas, M. Bruna, J. García-Armengol and J. V. Roig. Management of colonic volvulus. Experience in 75 patients . 239-248


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 188 visits.
This article has been downloaded 2 times.
Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology