Laparoscopic Detorsion and Cecopexy for Treatment of Cecal Volvulus

Jones, R. Watson; Wayne, Erik; Kehdy, Farid

doi:10.1177/000313481207800503

Cited by 9 publications

(4 citation statements)

References 3 publications

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“…9,22 Open and laparoscopic manual detorsion techniques have been reported. [27][28][29] Some authors have suggested that with increasing use of laparoscopic detorsion and cecopexy, there may be some role for pre-or intraoperative colonoscopy to allow for decompression of the colon to facilitate laparoscopy. 28 Determination of laparoscopic versus open approach to surgical intervention is patient and provider dependent.…”

Section: Treatmentmentioning

confidence: 99%

Colonic Volvulus

Savitch,

Harbaugh

2023

Clin Colon Rectal Surg

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Colonic volvulus represents 10 to 15% of all large bowel obstructions in the United States. It most commonly occurs in the sigmoid colon or cecum. Morbidity and mortality from colonic volvulus are high. It is therefore essential to have a high level of suspicion based on presentation and expedient diagnosis and management to prevent progression to ischemia or perforation. Broad goals of management include evaluation of colon viability, relief of obstruction, and prevention of recurrence. Endoscopic and surgical approaches vary based on the site of volvulus, presence of ischemia or perforation, and patient characteristics. This review outlines the epidemiology, presentation, diagnosis, and management of colonic volvulus. A contemporary diagnostic and treatment algorithm is included.

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Section: Treatmentmentioning

confidence: 99%

Colonic Volvulus

Savitch,

Harbaugh

2023

Clin Colon Rectal Surg

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“…Computed tomography scans also show a massively dilated cecum with associated small bowel dilation. Computed tomography confirms the diagnosis of cecal volvulus in approximately 90 % of patients, with the remainder diagnosed at the time of the operation [ 11 , 12 ].…”

Section: Case Presentationmentioning

confidence: 99%

Single-site laparoscopic right hemicolectomy for acute cecal volvulus: a case report

et al. 2016

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BackgroundCecal volvulus is an uncommon cause of acute abdomen in patients. Cecal volvulus is currently treated mostly with right hemicolectomy with laparotomy, which is an invasive surgical procedure. Less invasive techniques, such as endoscopic decompression, have a poor success rate.Case presentationWe report a case of cecal volvulus in a 35-year-old male patient. He was successfully treated with single-site laparoscopic decompression by inserting a catheter through the amputated appendix, detorsion, and hemicolectomy. This approach was less invasive than the traditional approach and resulted in satisfactory outcomes and cosmesis.ConclusionsApplication of single-site laparoscopic colectomy to acute cecal volvulus is feasible using decompression of the dilated colon by inserting a catheter through the amputated appendix. To the best of our knowledge, this is the first report of this treatment.

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“…Cecal bascule is the rarest form of cecal volvulus, which in itself is rare accounting for 1-2% of large bowel obstructions [1–3]. While it was initially described in 1899 by Treves, Weinstein was the first to describe the radiologic and clinical findings of the condition [4].…”

Section: Introductionmentioning

confidence: 99%

Is Loop Ileostomy in Patients with Cecal Bascule a Viable Option?

Shetty

Ivanics

Nasser

et al. 2019

Case Reports in Surgery

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Background. Cecal bascule, initially described in 1899 by Treves, is the rarest form of cecal volvulus and represents a phenomenon when a redundant and distended cecum folds anteriorly over the ascending colon causing an intestinal obstruction. Patients with cerebral palsy are at increased risk for this condition. Case Presentation. We present a 28-year-old male with cerebral palsy, functionally dependent in all activities of daily living, who had undergone a loop ileostomy for cecal bascule. He then presented to our emergency department with a large loop ileostomy prolapse, which was the result of an inverted prolapsed cecum through the efferent ileostomy limb. He underwent a right hemicolectomy with end ileostomy and transverse mucous fistula creation through the previous ostomy site. He progressed well appropriately postoperatively and was discharged home. Conclusions. While cecal bascule is a rare form of bowel obstruction, patients with cerebral palsy are at an increased risk for this condition. The treatment options are numerous and are primarily surgical. Diverting loop ileostomy alone is not a recommended treatment. A high index of suspicion is warranted in all cases of large bowel obstruction to minimize risk of recurrence, morbidity, and mortality for patients afflicted by this condition.

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Laparoscopic Detorsion and Cecopexy for Treatment of Cecal Volvulus

Cited by 9 publications

References 3 publications

Colonic Volvulus

Colonic Volvulus

Single-site laparoscopic right hemicolectomy for acute cecal volvulus: a case report

Is Loop Ileostomy in Patients with Cecal Bascule a Viable Option?

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