Colonic Volvulus: An Update on Management- Narrative Review Article
Kumar H.R *
Department of Surgery, Taylor’s University School of Medicine and Health Science,47500, Subang Jaya, Selangor, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Colonic volvulus is a rare cause of large bowel obstruction, and it is commonly seen in older patients. The clinical presentation is abdominal pain and abdominal distension which is followed by absolute constipation. The diagnosis is usually obtained by performing abdominal Xray or computerized tomography. Sigmoid volvulus is the most common cause followed by cecal volvulus and transverse colon volvulus. The management of colonic volvulus is divided into endoscopic detorsion and surgical therapy which involves surgical resection. We have conducted this review article to look at the various causes of colonic volvulus and the management of this condition.
Keywords: colonic volvulus, sigmoid volvulus, cecal volvulus, ileo-sigmoid knotting, endoscopic detorsion, sigmoid resection, right hemicolectomy