Sigmoid and Cecal Volvulus Questions & Answers

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

Overview

What is sigmoid and cecal volvulus?

What is the historical background of sigmoid and cecal volvulus?

What is the anatomy of the embryonic right colon relevant to sigmoid and cecal volvulus?

What two conditions must be present for the development of sigmoid and cecal volvulus?

What is the Jackson veil in the anatomy of sigmoid and cecal volvulus?

What is the anatomy of the mesosigmoid relevant to sigmoid and cecal volvulus?

What is the anatomy of the arterial supply of the ascending colon and cecum relevant to sigmoid and cecal volvulus?

What is the anatomy of the marginal artery of Drummond relevant to sigmoid and cecal volvulus?

What are areas of poor blood supply in sigmoid and cecal volvulus?

What is the critical point of Sudeck in the anatomy of sigmoid and cecal volvulus?

Why is the anatomy of ureters important in sigmoid and cecal volvulus surgery?

What causes an overloaded sigmoid colonic loop in sigmoid and cecal volvulus?

What causes foreshortening in sigmoid and cecal volvulus?

What is the pathophysiology of sigmoid and cecal volvulus?

What is the role of a cecal bascule in the pathophysiology of sigmoid and cecal volvulus?

What is the result of a complete sigmoid or cecal volvulus?

What predisposes the formation of sigmoid and cecal volvulus?

What causes a sigmoid volvulus?

Which neuropsychiatric disorders increase the risk of sigmoid volvulus in institutionalized patients?

What are possible risk factors of sigmoid volvulus in nursing homes patients?

What causes sigmoid volvulus in developing countries?

What is the role of pelvic mass in the etiology of sigmoid volvulus?

What are the less common etiologies of sigmoid volvulus?

What is the difference in the etiology of sigmoid and cecal volvulus?

What are anomalies that predispose patients to sigmoid or cecal volvulus?

What is the prevalence of sigmoid and cecal volvulus in the US?

What is the global incidence of sigmoid and cecal volvulus?

How does a delay in diagnosis and treatment affect the prognosis of sigmoid and cecal volvulus?

What is the suggested interval between endoscopic decompression and definitive surgical intervention for sigmoid and cecal volvulus?

What is the prognosis of sigmoid and cecal volvulus?

What is the incidence of recurrence in sigmoid and cecal volvulus?

Presentation

Which patient history is characteristic of sigmoid and cecal volvulus?

What are the signs and symptoms of sigmoid and cecal volvulus?

How is abdominal distention characterized in sigmoid and cecal volvulus?

What are the signs of systemic toxicity in sigmoid and cecal volvulus?

DDX

Which rare condition should be included in the differential diagnoses of sigmoid and cecal volvulus?

Workup

Which lab studies are performed in the workup of sigmoid and cecal volvulus?

Which imaging studies and procedures are performed in the workup of sigmoid and cecal volvulus?

Which radiographic findings suggest sigmoid volvulus?

Which radiographic findings suggest cecal volvulus?

What is the role of CT scanning in the workup of sigmoid and cecal volvulus?

What is the role of barium enema in the workup of sigmoid and cecal volvulus?

Treatment

What is the definitive treatment of sigmoid and cecal volvulus?

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

How is sigmoid and cecal volvulus treated if there is evidence of peritonitis or ischemic bowel?

What are the indications for surgical intervention in patients with cecal volvulus?

What are the surgical options for sigmoid volvulus?

Why are sigmoidopexy and mesenteric plication rarely used for the treatment of sigmoid volvulus?

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

What is the role of cecopexy in the treatment of sigmoid and cecal volvulus?

What is the role of laparoscopic sigmoid resection in the treatment of sigmoid and cecal volvulus?

How is hypovolemia managed in patients with sigmoid and cecal volvulus?

What is the role of antibiotics in the treatment of sigmoid and cecal volvulus?

How are endoscopic detorsion and decompression performed in patients with sigmoid and cecal volvulus?

What is the efficacy of sigmoidoscopic detorsion for the treatment of sigmoid and cecal volvulus?

What is the recurrence rate of sigmoid and cecal volvulus after treatment with decompression?

Which surgical approach has the lowest rate of recurrence for the treatment of sigmoid and cecal volvulus?

How is a sigmoid colectomy for sigmoid volvulus performed?

What is the role of a Hartmann procedure in the treatment of sigmoid volvulus?

How is the Hartmann procedure for sigmoid volvulus performed?

Which surgical procedures are no longer performed in the treatment of sigmoid volvulus?

What is the preferred surgical procedure for the treatment of cecal volvulus?

How is a right hemicolectomy performed in the treatment of cecal volvulus?

What are alternative surgical procedures for the treatment of cecal volvulus?

What are the possible postoperative complications of sigmoid and cecal volvulus treatment?

Medications

Which medications are used in the treatment of sigmoid and cecal volvulus?

Which medications in the drug class Colloids are used in the treatment of Sigmoid and Cecal Volvulus?

Which medications in the drug class Isotonic Crystalloids are used in the treatment of Sigmoid and Cecal Volvulus?