Pickron Bartley, Di Nolfi Jocelyn, Hall Jessica, Hegeholz Dalton
Division of Surgical Oncology, Department of Surgery, University of Utah, 1950 Circle of Hope, Salt Lake City, UT 84112, USA.
Department of Surgery, Santa Barbara Cottage Hospital, Santa Barbara, CA, USA.
Surg Clin North Am. 2026 Feb;106(1):143-151. doi: 10.1016/j.suc.2025.08.011. Epub 2025 Sep 16.
Colonic volvulus most commonly occurs in the sigmoid colon or the cecum. Colonic volvulus must be in the differential diagnosis of a patient presenting with symptoms of a large bowel obstruction. Radiographic images usually confirm the diagnosis. Patients with peritonitis or shock are taken emergently to the operating room. For stable patients with sigmoid volvulus, initial endoscopic reduction is undertaken with sigmoid resection performed as an elective procedure following resuscitation and bowel preparation. For patients with cecal volvulus or bascule, operative resection is typically offered. Recommendations for colonic anastomosis or diversion follow generally established surgical principles.
结肠扭转最常发生于乙状结肠或盲肠。结肠扭转必须列入出现大肠梗阻症状患者的鉴别诊断中。影像学检查通常可确诊。患有腹膜炎或休克的患者应紧急送往手术室。对于病情稳定的乙状结肠扭转患者，首先进行内镜复位，并在复苏和肠道准备后择期行乙状结肠切除术。对于盲肠扭转或折曲患者，通常进行手术切除。结肠吻合术或改道术的建议遵循普遍确立的外科原则。
