Colonic Volvulus in the United States

Halabi, Wissam J.; Jafari, Mehraneh D.; Kang, Celeste Y.; Nguyen, Vinh; Carmichael, Joseph C.; Mills, Steven; Pigazzi, Alessio; Stamos, Michael J.

doi:10.1097/sla.0b013e31828c88ac

Cited by 181 publications

(124 citation statements)

References 62 publications

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“…Volvulus is rare in developed countries and accounts for only 1.90% of all cases of bowel obstruction in the United States, but it is a major cause of bowel obstruction in Africa, the Middle East, and South America 9. SCV usually occurs in older adults, with a mean age of 70 years at presentation 3. Patients are often institutionalized and debilitated due to underlying neurologic or psychiatric disease, and tend to have a history of constipation 7.…”

Section: Discussionmentioning

confidence: 99%

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Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion

et al. 2017

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Background/AimsAlthough multiple treatment options exist for the management of sigmoid colon volvulus, no study has examined the factors associated with successful endoscopic detorsion. This study aimed to examine the clinical course of patients with sigmoid colon volvulus and to identify factors related to successful endoscopic detorsion.MethodsThis study included 30 cases (21 patients) of sigmoid volvulus from among 545 cases of intestinal obstruction at a single center. We retrospectively examined the clinical course and the factors associated with the possibility of endoscopic detorsion of sigmoid colon volvulus.ResultsThe rate of laxative use among the study participants was 76.2%; the rate of comorbid neuropsychiatric disorders was 61.9%; and 57.1% of patients had a history of open abdominal surgery. All patients were initially treated with endoscopic detorsion, and this procedure had a 61.9% success rate. The recurrence rate after detorsion was as high as 46.2%, but detorsion during revision endoscopy was possible in all cases. Statistical analysis revealed that the absence of abdominal tenderness (P=0.027), the use of laxatives (P=0.027), and a history of open abdominal surgery (P=0.032) were factors predictive of successful endoscopic detorsion.ConclusionsThe results of our study are consistent with previous reports with respect to the success rate of endoscopic detorsion, the subsequent recurrence rate, and the proportion of patients requiring surgical treatment. In addition, we identified the absence of abdominal tenderness, the use of laxatives, and history of open abdominal surgery as factors predicting successful endoscopic detorsion of sigmoid colon volvulus.

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Section: Discussionmentioning

confidence: 99%

“…Although sigmoid colon volvulus (SCV) is a relatively rare disease, its epidemiology, symptoms, diagnostic methods, treatments, and outcomes have been well researched 34. SCV can compromise the blood supply of the involved segment, leading to ischemia, gangrene, perforation, and death in the absence of optimal treatments 56.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion

et al. 2017

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“…In the US, about 60% of LBO are caused by neoplasms, 20% by diverticular disease, and 5% due to colonic volvulus [1], [2], [3]. This usually presents in older adults around the age of 70 [4], [5].…”

Section: Introductionmentioning

confidence: 99%

Minilaparotomy without general anesthesia for the treatment of sigmoid volvulus in high-risk patients: A case series of 4 patients

Enrique

Hamdy

2017

International Journal of Surgery Case Reports

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“…This was analogous to Halabi and colleague’s coding for colonic volvuli. [13] However, since this diagnosis code is not specific for the volvulus location, we then excluded all patients undergoing gastric or colonic procedures during the same hospitalization in order to identify patients undergoing small bowel procedures during the same hospitalization. By excluding gastric and colonic procedures associated with gastric volvuli and colonic volvuli,[13] we aimed to identify the study cohort with SBV (Supplemental Table 1).…”

Section: Methodsmentioning

confidence: 99%

“…[13] However, since this diagnosis code is not specific for the volvulus location, we then excluded all patients undergoing gastric or colonic procedures during the same hospitalization in order to identify patients undergoing small bowel procedures during the same hospitalization. By excluding gastric and colonic procedures associated with gastric volvuli and colonic volvuli,[13] we aimed to identify the study cohort with SBV (Supplemental Table 1). Although this approach may underestimate the true SBV population, which may have undergone gastric or colonic procedures, we preferred this potential type II error as opposed to overestimation with a type I error.…”

Section: Methodsmentioning

confidence: 99%

Small bowel volvulus in the adult populace of the United States: results from a population-based study

Coe

Chang

Sicklick

2015

The American Journal of Surgery

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Background Small bowel volvulus is a rare entity in Western adults. Greater insight into epidemiology and outcomes may be gained from a national database inquiry. Methods The Nationwide Inpatient Sample (1998–2010), a 20% stratified sample of United States hospitals, was retrospectively reviewed for small bowel volvulus cases (ICD-9 560.2 excluding gastric/colonic procedures) in patients ≥18-years old. Results There were 2,065,599 hospitalizations for bowel obstruction (ICD-9 560.x). Of those, there were 20,680 (1.00%) small bowel volvulus cases; 169 were attributable to intestinal malrotation. Most cases presented emergently (89.24%) and operative management was employed more frequently than non-operative (65.21% vs. 34.79%, P<0.0001). Predictors of mortality included age >50-years, Charlson comorbidity index ≥1, emergent admission, peritonitis, acute vascular insufficiency, coagulopathy, and non-operative management (P<0.0001). Conclusions As the first population-based epidemiological study of small bowel volvulus, our findings provide a robust representation of this rare cause of small bowel obstruction in American adults.

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Colonic Volvulus in the United States

Cited by 181 publications

References 62 publications

Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion

Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion

Minilaparotomy without general anesthesia for the treatment of sigmoid volvulus in high-risk patients: A case series of 4 patients

Small bowel volvulus in the adult populace of the United States: results from a population-based study

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