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Single center experience on colonic volvulus; Is CT necessary for diagnosis?
Mesut AYDIN1, Serhat Özer2, Yaren Dirik1, Sehmus Ölmez3, Çetin Kotan4, Canan Demir51Department of Gastroenterology, Van Yuzuncu Yil University, Van, Turkey2Department of Gastroenterology,Artvin State Hospital, Artvin, Turkey
3Department of Gastroenterology, Adana Numune Research and Education Hospital, Adana, Turkey
4Department of General Surgery, Van Yuzuncu Yil University, Van, Turkey
5Van Yuzuncu Yil University, Vocational School of Healthcare, Van, Turkey
INTRODUCTION: Colonic volvulus is rare but hazardous cause of bowel obstruction. We tried in this study to assess efficacy of plain x-ray and endoscopic decompression in diagnosis and treatment, respectively.
METHODS: A total of 34 patients diagnosed with colonic volvulus were retrospectively analyzed and success rates of endoscopic decompression were noted. Descriptive statistics for continuous variables were expressed as Mean±Standard Deviation and Median (Min-Max), and it is expressed as number and percentage for categorical variables. Correlations between some parameters in colonic volvulus patients were examined.
RESULTS: A total of 34 patients, 76% (n = 26) male and 24% (n = 8) female, were included in the study. All patients except those with mucosal necrosis underwent successful colonoscopic detorsion (n=29; 85%). Plain x-ray alone was sufficient for diagnosis in 94%.
DISCUSSION AND CONCLUSION: A total of 34 patients, 76% (n = 26) male and 24% (n = 8) female, were included in the study. All patients except those with mucosal necrosis underwent successful colonoscopic detorsion (n=29; 85%). Plain x-ray alone was sufficient for diagnosis in 94%. Colonoscopic detorsion, by gaining time for elective surgery, is an effective treatment modality and computed tomography (CT) is not necessary for diagnosis in colonic volvulus.
Manuscript Language: English