Volvulus – treatment of disease. Symptoms and prevention of the disease volvulus

Volvulus – What is this disease? Volvulus is a type of acute bowel obstruction. Zavoroty make up 4-5% all kinds of NC.

Volvulus – The cause of the

More often than not the inversion result adhesions in the abdominal cavity, formed subsequently, inflammation or surgery involving the abdominal cavity. As a result of the formation of adhesions occurs squeezing the guts, thereby disrupted the movement of food kishechniku, ie. formed bowel obstruction. Often the cause of obstruction may be a hernia., invaginacija guts, the presence of tumor formations on the gut.

There are volvulus, reasons which lie in the wrong meal, namely, in cases, When the long fasting should be overeating. Sigmoid volvulus can occur as a result of constipation in chronic form.

In children this pathology can also meet. Causes of volvulus in children are quite diverse: This can be abdominal trauma, sharp turn torso, constipation, worms, etc.. As with adults, bowel volvulus in children can be a consequence of tumours and adhesions. What happens to a similar disease in infants? The cause of the education of infants have inversion can be congenital pathology or abrupt transition to milk mixture after breastfeeding.

Volvulus – Symptoms of volvulus

The main symptom is shvatkoobraznaja, gradually increasing stomach pain, which after a while becomes a permanent. The next symptom is the absence of the Chair and gases. In some cases, gases may deviate, but no Chair. In the future, there is a general deterioration, abdominal distention, nausea and vomiting. Sealing may occur or, conversely, abnormal softness of individual sections.

Volvulus small intestine gives the most severe and violent symptoms. Pain in the area of the navel is growing rapidly, There is bloating, nausea, vomiting, paleness, lowering blood pressure, tachycardia.

Inversion of the sigmoid colon is often preceded by chronic constipation and migraine pain (the so-called incomplete zavoroty).

Volvulus – Diagnostics

The exact diagnosis is usually set when analyzing review radiographs and especially after barium enema. The overview picture shows the enhanced intestinal loop, bowel movement in unusual position, air and fluid levels. Contrast study allows you to set a rough localization of intestinal obstruction.

Volvulus – Types of disease

Distinguish between zavoroty thin, the sigmoid and blind guts.

Relatively common sigmoid volvulus. It is about 50% of all zavorotov. Ranks third among all forms of acute bowel obstruction. Of great importance in the occurrence and development of sigmoid inversion are congenital and acquired anatomical features of the intestine. This form of bowel obstruction, usually, occurs in elderly and senile age. The emergence of long contributed to the inversion loop sigmoid colon with a long and narrow at the base of the bryzhejkoj, Spikes, locating the top loop of the bowel, cicatricial changes of the intestinal wall, umbilicus shrivelling bryzhejki root and sigmoid colon (scarry mezosigmoidit).

Small bowel volvulus (NTA) meets approximately 5% cases. NTA usually occurs on-the-go clockwise. It, usually, accompanied by acute human homeostasis. The severity of the disease depends on the level of localization of obstacles and length involved in gut and rotation inversion. The more turns commit intestinal loops, the faster and stronger disturbed blood circulation, sooner and harder necrosis disease.

Relatively rare volvulus caecum (ZSC LIONS).When ZSC LIONS, It should be noted that total with iliac gut bryzhejki, extension and increase of the SC, advancing with the age, as well as due to chronic colitis, accompanied by constipation, stagnation of faecal masses, abundant aeration. Also have adhesions, puckering, bring appropriate segments of intestine. There are three main types of KYC: 1) ZSC LIONS together with ileum gut around their common bryzhejki; 2) ZSC LIONS around its longitudinal axis; 3) ZSC LIONS around its transverse axis.

Volvulus – Actions of the patient

If you suspect the presence of a person of this pathology should immediately contact someone for help, because the forecast without appropriate treatment-adverse: in this case, the disease can cause death.

Volvulus – Treatment

When zavorote small bowel quickly begins her gangrene. Therefore, particular importance is early diagnosis and emergency operation. The operation is the elimination or inversion, more, in bowel resection with anastomosis.

When zavorote sigmoid colon can be done again using inversion kolonoskopa unfolding. If the appliance cannot pass through the kinked intestine segment, There is a discharge of liquid and gas, then comes the rapid improvement of the condition of the patient.

Volvulus – Complications

As a result, volvulus were at high risk for kalovogo peritonitis due to not excluded the possibility of necrosis lot perekruchennogo gut.

Volvulus – Prevention

In order to prevent the recurrence of the disease sigmoid produce its fixation to the abdominal wall. When gangrene and sigmoid resection for Hartmann, lethality is 27,5%. Resection a viable guts lethality is 13,4 %, When a simple detorsii – 21,4 %, and when detorsii with oplikaciej and fixing – 21%.

Also to prevent symptoms of volvulus should reconsider their food ration. From the diet should exclude the abundance of plant foods, contains crude fiber. Food should be rational, without overeating.