2002
DOI: 10.1007/s10350-004-6158-4
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The Management of Cecal Volvulus

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 inv… Show more

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Cited by 198 publications
(247 citation statements)
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“…In a study carried out by Tumusiime et al in Central Uganda, this diet was found to make them more susceptible to sigmoid volvulus 8 . The high consumption of these high fibre crops may lead to increased gas formation in the bowel, predisposing them to sigmoid volvulus 21 .…”
Section: Discussionmentioning
confidence: 99%
“…In a study carried out by Tumusiime et al in Central Uganda, this diet was found to make them more susceptible to sigmoid volvulus 8 . The high consumption of these high fibre crops may lead to increased gas formation in the bowel, predisposing them to sigmoid volvulus 21 .…”
Section: Discussionmentioning
confidence: 99%
“…This is a rare form of caecal obstruction caused by folding of the caecum anterior to the ascending colon, resulting in a 'flap valve' that occludes caecal emptying without true twisting; caecal bascule is responsible for 10% of all cases of caecal obstruction. (7,8) Patients with caecal bascule tend to have a better prognosis and lower incidence of vascular compromise of the bowel. An abnormal positional relationship between the superior mesenteric vein and artery, indicative of intestinal malrotation, is also identifiable on CT. (9) Contrary to normal anatomy, the vein is located to the left of the artery.…”
Section: Discussionmentioning
confidence: 99%
“…Na maioria dos mais recentes trabalhos encontrados na literatura médica em que há menção ao ceco móvel, se não em todos, excluindo os de Tirol [34][35][36][37][38] , os autores apenas mencionam os aspectos associados com a oclusão intestinal parcial, que pode ser devida à báscula cecal, à torção parcial e intermitente daquele segmento do intestino grosso ou à torção completa que pode culminar com obstrução do cólon direito e necrose do ceco. Nesses casos, o tratamento cirúrgico urgente proposto, em geral, termina com a excisão de parte do cólon direito 24,[39][40][41][42][43][44][45][46][47][48][49] .…”
Section: Discussionunclassified