How is sigmoid and cecal volvulus treated in the absence of peritonitis or ischemic bowel?

Updated: Nov 28, 2018
  • Author: Scott C Thornton, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

In patients with no evidence of peritonitis or ischemic bowel, treatment starts with resuscitation and detorsion of the sigmoid volvulus. This is accomplished by means of sigmoidoscopy or colonoscopy and concomitant rectal tube placement. The bowel is then prepared, and surgery is undertaken electively during the same hospitalization. Inability to detorse the sigmoid volvulus endoscopically is an indication for immediate surgical intervention.


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