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Query: UMLS:C0042961 (volvulus)
 4,305 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Colon interposition has become a favored technique for esophageal reconstruction. Late morbidity is generally related either to technical problems associated with the procedure or to the development of new disorders in the transposed segment. Two patients are discussed who were seen with obstruction of colon interposition grafts ten and five years after esophageal reconstruction. In the first patient, a volvulus of the interposed colon associated with a chronically narrowed area distal to the looped segment resulted in obstruction. In the second patient, the redundant intrathoracic segment of the colon interposition became kinked at the diaphragmatic hiatus leading to dilatation and incomplete emptying. Both patients underwent successful reoperations and are doing well 10 and 12 months later. The causes and possible prevention of these and other late complications of colon interposition are discussed.
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PMID:Unusual sequelae of colon interposition for esophageal reconstruction: late obstruction requiring reoperation. 647 53

The case records of 12 patients with cecal volvulus over a 20-year period were reviewed. The patients averaged 46.7 years old; 75 per cent were white and 67 per cent were male. Patients presented with signs and symptoms of intestinal obstruction. Pain and distention were present in more than half of the patients. X-rays assisted in making the diagnosis of cecal volvulus in only five of the patients. Diagnosis was made in the remainder at the time of surgical exploration. At operation, one cecum was necrotic and required resection. Five patients underwent cecostomy, two cecopexy, and four simple detorsion. Post-operatively, one patient developed a wound infection. There were no deaths. Follow-up for seven patients averaged 75 months each. One patient who had undergone simple detorsion developed another cecal volvulus. All who were contacted were alive and well. At St. Luke's Hospital, cecal volvulus generally occurs in middle-aged white males. Cecostomy or cecopexy adequately treats cecal volvulus when the cecum remains viable. This study demonstrates that prompt surgical intervention, before strangulation of the colon occurs, results in low mortality even in city hospital patients.
Dis Colon Rectum 1984 Nov
PMID:Cecal volvulus. Low mortality at a city hospital. 649 9

Volvulus of the transverse colon is rare. Sixty-six cases have been reported in the English medical literature, and three new cases are presented herein. The causative factors, classical clinical presentation, radiologic findings, and management have been addressed. It is believed that colonoscopy will have an increasing role in the diagnosis and treatment of this condition in the future.
Dis Colon Rectum 1983 Dec
PMID:Volvulus of the transverse colon. Reports of cases and review of the literature. 664 69

Sigmoid volvulus usually affects the elderly, but it is being increasingly described in a younger age group. In these patients the diagnosis is often delayed, due to a prolonged and intermittent history. Three patients, of 31,36, and 67 years, are described here, and they demonstrate an increased incidence within families, which has not been previously recognized. Awareness of this possibility may allow earlier diagnosis when investigating young patients with intermittent abdominal symptoms, whose relatives are known to be affected.
Dis Colon Rectum 1984 Apr
PMID:Sigmoid volvulus: new thoughts on the epidemiology. 671 35

Five cases of mobile cecum syndrome are presented. These patients all presented with chronic right lower quadrant abdominal pain with associated abdominal distention and symptomatic relief after passing flatus or having a bowel movement. Three patients had preoperative barium enemas demonstrating abnormal mobility of the cecum. On exploration, all patients were found to have the cecum and ascending colon unattached to the lateral peritoneum for 15 to 18 cm. All patients were treated by cecopexy, using a lateral peritoneal flap for fixation, and all have had relief of their pain. This technique is described and illustrated. Cecopexy is an effective method of fixing the cecum and prevents subsequent cecal volvulus. The diagnosis of mobile cecum syndrome should be considered in patients with chronic right lower quadrant pain.
Dis Colon Rectum 1984 Jun
PMID:Mobile cecum syndrome. 673 64

Geographic location of a population plays a significant role in the interpretation of symptoms of some diseases of the colon. Because diverticular disease of the colon is very rare in the tropics, frank rectal bleeding, which may be suggestive of bleeding diverticulosis when it occurs in a temperate region, is suggestive of a bleeding ileal typhoid ulcer eroding terminal branches of the superior mesenteric artery. Similarly, symptoms suggestive of ulcerative colitis in a temperate region are suggestive of amebic colitis in the tropics. Anatomic variation also plays a part in the nature of some disease processes. The high incidence of freely mobile cecum and ascending colon and the freely mobile redundant sigmoid colon, seen in a tropical population, play a part in the frequent occurrence of nontumid intussusception, relatively high incidence of sigmoid volvulus, and relatively high incidence of rectal prolapse seen in the area.
Dis Colon Rectum
PMID:Differences between surgical colorectal conditions seen in the temperate and tropical regions. 681 61

A case of amyloidosis of the colon associated with multiple myeloma is presented. The unusual situation was that of obstructive signs with radiologic features of "megacolon and volvulus." A high index of suspicion and meticulous histologic search will demonstrate involvement of the gastrointestinal tract in 98 per cent of patients with systemic amyloidosis. Amyloidosis may mimic other gastrointestinal disorders. Rectal biopsy is diagnostic in 75 per cent of the patients. Treatment of amyloidosis of the colon involves treating the cause with the hope of reversing or at least retarding the process. The results of treatment based on the available experience have been dismal.
Dis Colon Rectum 1983 Aug
PMID:Amyloidosis of the colon. Report of a case and review of the literature. 687 82

The most common cause of colonic obstruction is adenocarcinoma, followed by diverticulitis, volvulus, and a variety of miscellaneous causes. Most signs and symptoms, from whatever cause, consist of abdominal pain with distention and the inability to pass flatus or stool. The clinical diagnosis is confirmed by x-ray studies. Plain films of the abdomen in various positions, chest films, and the addition of contrast studies verify the cause of the obstruction in most instances. The differentiation between neoplasm and diverticulitis causing the obstruction can be difficult or impossible at times, and may become apparent only after the obstruction begins to resolve with conservative management, or the cause is discovered at surgery. The history of previous abdominal or pelvic irradiation, surgery, and inflammatory bowel disease often causes difficulty in the differential diagnosis.
Dis Colon Rectum 1982 Sep
PMID:The diagnosis of colonic obstruction. 711 69

Sixty-six consecutive patients, admitted to St. Vincent's Hospital, Melbourne, with sigmoid volvulus, fell into two groups, 60 without and six with acquired megacolon. In the former group, flatus tube decompression was usually successful, and sigmoid resection provided a cure. In the group with megacolon, the history was longer; patients more often had bowel symptoms before or between acute episodes of volvulus; flatus tube decompression was rarely successful; and symptoms persisted after sigmoidectomy and were sometimes associated with recurrence of volvulus of the new "sigmoid." It seems that nothing less than total colectomy will cure these patients.
Dis Colon Rectum 1982 Oct
PMID:Sigmoid volvulus with and without megacolon. 712 69

Surgery was performed on a rare case of incarcerated Chilaiditi's syndrome, a syndrome that has been known for 10 years. The patient was in the state of ileus with volvulus of the stomach and hepatodiaphragmatic interposition of the stomach, transverse colon, and omentum majus. The patient was at high risk--77 years old and in bad condition due to hyperemesis and abdominal pain. Preoperative intensive care was necessary. During the operation the intestinal structures were repositioned, the diaphragmatic hernia was resected, and the muscular parts were sewn tight. The right position of the liver was reconstructed by sewing the ligaments. Colon resection was inevitable because the colon loop could not be separated and because there was lack of intraabdominal space. For indication of preventive and elective surgery, we propose that the diagnostics be enhanced when Chilaiditi's syndrome is found by chance and is still asymptomatic. These techniques may include a complete radiological examination with contrast medium, intestinal endoscopy, and computer tomography of the thoracoabdominal region.
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PMID:[Incarcerated Chilaiditi disease. A rare indication for surgery]. 726 6


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