Volvulus of the colon. Incidence and mortality.
Between 1960 and 1980, 137 patients with colonic volvulus (52% cecal, 3% transverse colon, 2% splenic flexure, and 43% sigmoid) were seen at the Mayo Clinic. Among the 59 patients with sigmoid volvulus, four (7%) had colonic infarction. Total mortality with sigmoid volvulus was seven per cent. There were 71 patients with cecal volvulus. Colonoscopic decompression was accomplished in two of these patients; in 15 (21%), gangrenous colon developed and mortality was 33%. Total mortality for cecal volvulus patients was 17%. Mortality for all forms of volvulus in patients with viable colons was 11%. Mortality for all patients with volvulus was 14%.
D000328:Adult; D000368:Aged; D002429:Cecal Diseases / Q000453:epidemiology / Q000401:mortality / Q000601:surgery; D002675:Child, Preschool; D003106:Colon / Q000098:blood supply; D003108:Colonic Diseases / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D007238:Infarction / Q000209:etiology; D007415:Intestinal Obstruction / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D012810:Sigmoid Diseases / Q000453:epidemiology / Q000401:mortality / Q000601:surgery