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Dis Colon Rectum. 2002 Feb;45(2):264-7.

The management of cecal volvulus.

Author information

1
Department of Surgery, University of Natal, Durban, South Africa.

Abstract

Cecal volvulus is second only to sigmoid volvulus in its frequency of occurrence. Diagnostic doubt is not uncommon in cecal volvulus; nonoperative decompression is rarely achievable; and if gangrene supervenes, mortality rises appreciably. Resection is mandatory for gangrene and a grossly distended, thin-walled cecum. Cecopexy and cecostomy seem less-effective and more morbid options than resection and anastomosis for viable bowel. However, their role needs reappraisal in the light of advances in minimally invasive techniques.

PMID:
11852342
[Indexed for MEDLINE]

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