ABSTRACT

Although endoscopic decompression seems the best therapeutic approache, definitive surgical resection+anastomosis with or without colostomy must be primary option for colonic torsions due to high recurrence rate after the decompressive treatment in the follow-up period.

Seven cases (%35) died. No complication was seen in the groups. However, in the subgroup of advanced age and gangrenous intestines 2 cases died resulting in 100% mortality rate. Three cases previously treated by detortion developed recurrence and re-operated by resection and primary anastomosis.In the elective surgery arm neither recurrence nor mortality was observed.

In 10-year period between 1996-2006, retrospective scanning were made and we encountered 20 (19 Sigmoid, 1 ceacum) colonic volvulus. Three cases were treated by surgical decompression, 13 cases were treated by resection and Hartmann colostomy, 1 cases was treated by hemicoloctomy and finally 3 cases were treated by resection and primer anastomosis. The cases were grouped into two groups according to the viability of intestines. In the gangreneus arm 4 cases underwent emergent resection and colostomy construction. In the non-gangreneus arm 3 detorsion procedures, 3 resection and primary anastomosis, 10 resection and Hartmann colostomy were performed.Results were analyzed according to the age, sex, complication, death and local recurrence.

To determinate most available therapeutic approaches for colonic volvulus which causes mechanical bowel obstructions.