What is the efficacy of endoscopic decompression for the treatment of cecal volvulus?

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

For cecal volvulus, the success rate of endoscopic decompression is only 15-20%, and emergency surgical intervention is therefore mandated. The choice of procedure depends on the patient’s clinical condition. In severely debilitated patients, cecostomy is a valid option; however, it is associated with a wound infection rate of 40-50% and a recurrence rate of approximately 2-5%. If the patient can withstand surgery, a right hemicolectomy with primary ileocolic anastomosis is the procedure of choice. Rarely, an end ileostomy is performed.


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