The Management of Cecal Volvulus
Top Cited Papers
- 1 February 2002
- journal article
- review article
- Published by Wolters Kluwer Health in Diseases of the Colon & Rectum
- Vol. 45 (2) , 264-267
- https://doi.org/10.1007/s10350-004-6158-4
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.Keywords
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