What Is the Surgical Treatment of Cecal Volvulus?
Clinical Scenario
Cecal volvulus occurs when the cecum and terminal ileum twist on their mesentery, resulting in colonic obstruction that typically requires operative intervention. The choice of surgical procedure depends on bowel viability and patient risk.
Treatment Approach
Surgical resection is the cornerstone of management for cecal volvulus. The preferred operative strategy involves colonic resection, with the specific technique and reconstructive approach determined by the clinical picture.
Full procedure selection criteria, patient risk stratification, and the role (or limits) of endoscopic approaches are detailed in the complete protocol below.
References
- Segmental resection is the preferred treatment for patients with cecal volvulus.
- Although the data regarding resection with end stoma creation in the setting of cecal volvulus are limited, this option should be considered in higher-risk patients and in patients with nonviable bowel.
- Attempts at endoscopic reduction of cecal volvulus are generally not recommended.
DOI: 10.1097/DCR.0000000000002159
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