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Colonic Volvulus

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CT Scan in Abdominal Emergency Surgery

Abstract

This condition with its acute and recurring presentations has been described for thousands of years, as have the rudimentary therapies used. The first recording of volvulus dates to ancient Egypt, where it was noted on the Ebers Papyrus (ca. 1550 BC) the description of its natural course to be either spontaneous reduction or “rotting” of the intestines. In addition, some rudimentary techniques were described for the manipulation of the abdomen to stimulate its resolution. Hippocrates (about 400 BC) later noted in his “diseases” and “affections” that certain bowel obstructions, possibly caused by sigmoid volvulus, could be resolved and decompressed with the use of a long suppository ten digits long or ∼22 cm, injecting a large quantity of air into the intestines via the anus. To date, the modern proctoscopic decompression requires similar instrument length. It was later in the nineteenth century that this intervention was reexplored as a potential technique in clinical use.

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Bibliography

  1. Ballantyne GH. Review of sigmoid volvulus: history and results of treatment. Dis Colon Rectum. 1982;25(5):494–501.

    Article  CAS  PubMed  Google Scholar 

  2. Freiherr von Rokitansky C. Handbuch der Pathologischen Anatomie, vol 1. Wien: Braumüller u. Seidel, Anatomie; 1841.

    Google Scholar 

  3. Case by Dr. Atherton. Boston Med Surg J. 1883;CVIII(24):553.

    Google Scholar 

  4. Bruusgaard C. Volvulus of the sigmoid colon and its treatment. Surgery. 1947;22(3):466–78.

    PubMed  CAS  Google Scholar 

  5. Grossmann EM, Longo WE, Stratton MD, Virgo KS, Johnson FE. Sigmoid volvulus in Department of Veterans Affairs Medical Centers. Dis Colon Rectum. 2000;43(3):414–8.

    Article  CAS  PubMed  Google Scholar 

  6. Hines JR, Geurkink RE, Bass RT. Recurrence and mortality rates in sigmoid volvulus. Surg Gynecol Obstet. 1967;124(3):567–70.

    PubMed  CAS  Google Scholar 

  7. Gingold D, Murrell Z. Management of colonic volvulus. Clin Colon Rectal Surg. 2012;25(4):236–44.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Orchard JL, Mehta R, Khan AH. The use of colonoscopy in the treatment of colonic volvulus: three cases and review of the literature. Am J Gastroenterol. 1984;79(11):864–7.

    PubMed  CAS  Google Scholar 

  9. Anderson MJ, Okike N, Spencer RJ. The colonoscope in cecal volvulus: report of three cases. Dis Colon Rectum. 1978;21(1):71–4.

    Article  PubMed  Google Scholar 

  10. Joergensen K, Kronborg O. The colonoscope in volvulus of the transverse colon. Dis Colon Rectum. 1980;23(5):357–8.

    Article  CAS  PubMed  Google Scholar 

  11. Brothers TE, Strodel WE, Eckhauser FE. Endoscopy in colonic volvulus. Ann Surg. 1987;206(1):1–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Ghazi A, Shinya H, Wolfe WI. Treatment of volvulus of the colon by colonoscopy. Ann Surg. 1976;183(3):263–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Halabi WJ, Jafari MD, Kang CY, Nguyen VQ, Carmichael JC, Mills S, Pigazzi A, Stamos MJ. Colonic volvulus in the United States: trends, outcomes, and predictors of mortality. Ann Surg. 2013;259:293–301.

    Article  Google Scholar 

  14. Ballantyne GH, Brandner MD, Beart RW Jr, Ilstrup DM. Volvulus of the colon incidence and mortality. Ann Surg. 1985;202(1):83–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Isbister WH. Large bowel volvulus. Int J Colorectal Dis. 1996;11(2):96–8.

    Article  CAS  PubMed  Google Scholar 

  16. Hougaard HT, Qvist N. Elective surgery after successful endoscopic decompression of sigmoid volvulus may be considered. Dan Med J. 2013;60(7):A4660.

    PubMed  Google Scholar 

  17. Tan KK, Chong CS, Sim R. Management of acute sigmoid volvulus: an institution’s experience over 9 years. World J Surg. 2010;34(8):1943–8. doi:10.1007/s00268-010-0563-8.

    Article  PubMed  Google Scholar 

  18. Safioleas M, Chatziconstantinou C, Felekouras E, Stamatakos M, Papaconstantinou I, Smirnis A, Safioleas P, Kostakis A. Clinical considerations and therapeutic strategy for sigmoid volvulus in the elderly: a study of 33 cases. World J Gastroenterol. 2007;13(6):921–4.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Suleyman O, Kessaf AA, Ayhan KM. Sigmoid volvulus: long-term surgical outcomes and review of the literature. S Afr J Surg. 2012;50(1):9–15.

    PubMed  Google Scholar 

  20. Oren D, Atamanalp SS, Aydinli B, Yildirgan MI, Başoğlu M, Polat KY, Onbaş O. An algorithm for the management of sigmoid colon volvulus and the safety of primary resection: experience with 827 cases. Dis Colon Rectum. 2007;50(4):489–97.

    Article  PubMed  Google Scholar 

  21. Consorti ET, Liu TH. Diagnosis and treatment of caecal volvulus. Postgrad Med J. 2005;81:772–6. doi:10.1136/pgmj.2005.035311.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  22. Habre J. Caecal volvulus. Am J Surg. 2008;196(5):e48–9.

    Article  PubMed  Google Scholar 

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Correspondence to Oreste M. Romeo M.D., F.A.C.S. .

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Ng, J.M., Chang, H., Romeo, O.M. (2018). Colonic Volvulus. In: Catena, F., Di Saverio, S., Ansaloni, L., Coccolini, F., Sartelli, M. (eds) CT Scan in Abdominal Emergency Surgery. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-319-48347-4_14

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  • DOI: https://doi.org/10.1007/978-3-319-48347-4_14

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