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Sigmoid Volvulus

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What Is Sigmoid Volvulus?

Sigmoid Volvulus happens when an individual hurt from fairly prolonged continuing constipation with development of large , elongated , and atonic colon , especially around the sigmoid colon . This term is also known by the name of Idiopathic Megacolon . Sigmoid Volvulus appears when a with child sigmoid loop topology full of dejection and distended with gas twist on the mesenteric pedicel produce a closed - loop enteral obstacle . If not treat adequately , it may guide to faecal peritonitis .

What Are The Causes Of Sigmoid Volvulus?

Sigmoid Volvulus is one of the major cause of colonic obstruction in many parts of the earthly concern , but in the United States it is a rare entity . It may be quite uncommon but there may be cases of undiagnosed Sigmoid Volvulus . Sigmoid colon is the most common sphere of the GI parcel of land that gets affected with Volvulus and is the reason for intestinal obstruction in about 15 % of all cases .

What Are Some Risk Factors For Sigmoid Volvulus?

Some of the risk factor for Sigmoid Volvulus are :

What Are Some Of The Symptoms Of Sigmoid Volvulus?

How Is Sigmoid Volvulus Diagnosed?

so as to diagnose Sigmoid Volvulus the follow studies will be done :

What Are The Treatments For Sigmoid Volvulus?

The frontline treatment for Sigmoid Volvulus is an emerging operation to untwist the sigmoid . Many cases of Sigmoid Volvulus have been treated successfully with noninvasive decompression techniques but again surgery is the commend treatment due to a high recurrence rate in noninvasive procedures .

Decompression To Correct Sigmoid Volvulus : In this subprogram , the patient is placed in a left sidelong position and a flexible sigmoidoscope is passed through the rectum and then passed mildly through the twisted intestine and gently untwisting the bowel . This results in a huge rate of flow of liquified feces and thus the obstructer is corrected . This procedure facilitates quick decompression of distended colon bringing in immediate relief from symptom . The tube is left for 24 hours to maintain decompression and foreclose recurrence .

Surgery For Sigmoid Volvulus : The best way of treatment surgically for Sigmoid Volvulus is the resection of the sigmoid Aspinwall . Surgery is indicated for those mortal in which the decompression procedure has failed and there are signs suggestive of bowel ischemia .

Even after a successful materialistic treatment , the luck of the Sigmoid Volvulus fall back is about 60 % . If the stipulation fall back after noninvasive discussion then surgery is do to prevent recurrence .

What Are The Complications Of Sigmoid Volvulus?

Some of the complications of Sigmoid Volvulus are :

Diet Plan For Treatment Of Volvulus

There are certain dietary modifications which can be done pre and send discourse for individual impress with Sigmoid Volvulus . Some of the dietary modification are as remark below :

In case if an individual is name with Volvulus , once it is recommend to take care of the diet as Volvulus even after being handle has a tendency to go back . Since some of the gut is polish off during surgery for Volvulus the consistency rule it unmanageable to take in critical minerals and vitamins ; therefore , it becomes necessary for the individual to be on electrolyte replacement so that the body does not get free of any vital electrolyte or minerals .

reference :

“ Volvulus : An Updated Review ” – Journal of Clinical Medicine Research Link : https://www.ncbi.nlm.nih.gov / pmc / articles / PMC6944994/

“ Sigmoid Volvulus ” – StatPearls Link : https://www.ncbi.nlm.nih.gov / books / NBK459380/

“ Sigmoid Volvulus : A Review of Three Cases ” – Cureus Link : https://www.ncbi.nlm.nih.gov / pmc / articles / PMC8532617/

“ Sigmoid Volvulus : A Diagnostic and Therapeutic Challenge ” – The Journal of Emergency Medicine Link : https://www.jem - journal.com / article / S0736 - 4679(20)30098 - 7 / fulltext

“ Sigmoid Volvulus : Diagnosis and Management ” – Gastroenterology & Hepatology Link : https://www.ncbi.nlm.nih.gov / pmc / articles / PMC3999603/

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