Colonic Volvulus

Hellinger, Michael D.; Steinhagen, Randolph M.

doi:10.1007/978-0-387-36374-5_19

Cited by 16 publications

(22 citation statements)

References 45 publications

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“…Like other authors (1,4,8,11,13) , intestinal adhesions were the main cause of intestinal obstruction in our series, with 43% of cases. Unlike in developed countries and certain regions of Africa, where respectively hernia and volvulus of the colon represent the second leading cause of intestinal obstruction (1,9) , we observed high proportion of cancer incidence. We think that this is due to the socio-economic context of our country, in which patients seek medical care in large emergencies of public hospitals with intra-abdominal tumors in advanced stage of evolution (3) .…”

Section: Discussioncontrasting

confidence: 89%

Analysis of the videolaparoscopy potentiality in the surgical treatment of the bowel obstruction

Ghezzi

Moschetti

Corleta

et al. 2010

Arq. Gastroenterol.

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-Context -Laparotomy is the gold standard treatment of patients with intestinal obstruction without response to clinical management. Nowadays, literature has been demonstrating the feasibility of videolaparoscopy in the treatment of intestinal obstruction. Objectives -To report the clinical-epidemiological profile of patients with intestinal obstruction submitted to surgery and verify the presence of contraindications for laparoscopy. Methods -It was done a observational, descriptive and retrospective study including adults patients with intestinal obstruction submitted to surgery at Hospital de Clínicas de Porto Alegre, RS, Brazil, between January of 2004 and October of 2008. Results -It was included 135 patients in the study, with a total of 126 patients submitted to open surgery and 9 to laparoscopy. There was similar distribution between gender and the mean age was 59 years (SD ± 16.9). The most frequent site of obstruction was the small bowel and the most frequent etiology was adhesions. Among the patients submitted to laparotomy, 75.4% presented with abdominal distention, 68.3% previous abdominal surgery, 11.9% body mass index >30 kg/m 2 , 4.8% coagulopathy and 3.2% hemodynamic instability. Among the 135 patients, only 5 of them presented with none contraindications for videolaparoscopy. Conclusion -The epidemiological findings of this study are similar to the ones of the worldwide literature. Indications of videolaparoscopy in retrospective analyses have the limitation of subjective evaluation of intestinal obstruction, which was included in this study as a relative contraindication to laparoscopy. HEADINGS -Intestinal obstruction. Video-assisted surgery.

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Section: Discussioncontrasting

confidence: 89%

Analysis of the videolaparoscopy potentiality in the surgical treatment of the bowel obstruction

Ghezzi

Moschetti

Corleta

et al. 2010

Arq. Gastroenterol.

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“…A high-fiber diet, advanced age, chronic constipation, previous surgery, neurologic or psychiatric conditions, megacolon and high altitude have all been described as predisposing factors for the development of sigmoid volvulus [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Sigmoid volvulus treated by mini-incision

Seow‐En

Seow‐Choen

2014

Tech Coloproctol

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Definitive surgical management of sigmoid volvulus is usually via a midline laparotomy or laparoscopy. We report our experience with a series of five consecutive cases over a 10-year period. All patients had definitive surgery via a left iliac fossa mini-incision after prior decompression. For four patients, it was the first episode of sigmoid volvulus and one patient had a recurrent sigmoid volvulus after previous sigmoid colectomy. The latter patient had pan colonic megacolon diagnosed at initial surgery. All five cases were surgically treated successfully via a mini-incision on the left iliac fossa. There were no instances of recurrence at a median follow-up duration of 95 months (range 7-132 months). A left iliac fossa mini-incision is sufficient for the definitive management of non-perforated sigmoid volvulus. Larger studies are warranted to draw definitive conclusions.

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“…Hellinger and Steinhagen study shows ~60% 0f intestinal volvulus involving the sigmoid colon. (18) In our study sigmoid volvulus accounts 4(13%) cases. Variation in these two results needs further study.…”

Section: Discussionmentioning

confidence: 46%