Colonic volvulus: continuing surgical problem and treatment options

Volume: 48 Number: 2 June 1, 2009
  • Yakan S
  • Şirinocak A
  • Telciler K E
  • Yılmaz S
  • Deneçli A G
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Colonic volvulus: continuing surgical problem and treatment options

Abstract

Aim: Colonic volvulus is a cause of acute abdomen which needs prompt diagnosis and treatment. There are a number of different surgical and nonsurgical treatment alternatives. Because of this reason we investigated results of patients operated for colonic volvulus and presented in this study. Material and Methods: Twenty eight patients operated for colonic volvulus at 1st Surgery Clinics at Izmir Bozyaka Education and Research Hospital were included and their records were retrospectively investigated. Results: Twenty eight colonic volvulus at 27 patients were operated at a 10 year period. Eleven(40,7 %) of the 27 cases were female, whereas 16(59,3) were male. The average age of the patients were 69(28-95). Twenty (70%) of the patients were preoperatively diagnosed; 10 of this 20 patients were treated with emergency laparotomy whereas the other 10 patients were treated with endoscopic decompression. Sixteen (56%) patients were treated with resection and colostomy, 8(28%) patients were treated with resection and anastomosis, 2 (7%) patients were treated with detortion, 1 patient was treated with detortion and sigmoidopexy, 1 patient was treated with resection and ileostomy. Mortality was seen at 2 cases (7%). Conclusion: Endoscopic decompression should be the first choice for suitable patients. Surgical treatment is inevitable if ischemia, gangren or perforation is present or if endoscopic decompression fails.

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Primary Language

Turkish

Subjects

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Journal Section

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Authors

Yakan S

Şirinocak A

Telciler K E

Yılmaz S

Deneçli A G

Publication Date

June 1, 2009

Submission Date

June 1, 2009

Acceptance Date

-

Published in Issue

Year 2009 Volume: 48 Number: 2

IZ

https://izlik.org/JA57YK85AL

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RIS / Bibtex
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1.Yakan S, Şirinocak A, Telciler K E, Yılmaz S, Deneçli A G. Kolon volvulusları: süregelen cerrahi problem ve tedavi seçenekleri. EJM [Internet]. 2009 Jun. 1;48(2):89-93. Available from: https://izlik.org/JA57YK85AL

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