Colonic volvulus.
OBJECTIVE
To review the incidence of volvulations in our workplace, to study the procedures employed in its treatment, and to discuss our results during the last 20 years.


METHODS
A series of colonic volvulus treated between 1978 and 1998 at one hospital is presented.


RESULTS
We reviewed 41 cases. Volvulus locations are: sigmoid colon: 21, caecum: 17, transverse colon: 2, and splenic flexure: 1. Mortality rates according to the type of volvulus and type of operative procedure is analyzed. Four cases of volvulus recurrence (9%).


CONCLUSIONS
Treatment guidelines for the approach to colonic volvulus are presented.
Echenique Elizondo
M
M
Basque Country University, School of Medicine, Donostia Hospital, Departament of Surgery, San Sebastián, Guipúzkoa, Spain. gepecelm@sc.ehu.es
Amondaraín Arratíbel
J A
JA
D000368:Aged; D002429:Cecal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D003108:Colonic Diseases / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D015201:Meta-Analysis as Topic; D008875:Middle Aged; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D011860:Radiography, Abdominal; D012008:Recurrence; D012810:Sigmoid Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery