结肠溃疡

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Clinics in Colon and Rectal Surgery Pub Date : 2023-12-28 DOI:10.1055/s-0043-1777664

Samantha L. Savitch, Calista M. Harbaugh

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引用次数: 0

摘要

在美国，结肠空肠占所有大肠梗阻的 10%至 15%。它最常发生在乙状结肠或盲肠。结肠空洞症的发病率和死亡率都很高。因此，必须根据患者的表现高度怀疑，并迅速进行诊断和处理，以防止恶化为缺血或穿孔。治疗的总体目标包括评估结肠存活能力、缓解梗阻和预防复发。内镜和手术方法因肠管外翻的部位、缺血或穿孔的存在以及患者的特征而异。本综述概述了结肠肠卷的流行病学、表现、诊断和治疗。其中包括当代诊断和治疗算法。

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Colonic Volvulus

Colonic volvulus represents 10 to 15% of all large bowel obstructions in the United States. It most commonly occurs in the sigmoid colon or cecum. Morbidity and mortality from colonic volvulus are high. It is therefore essential to have a high level of suspicion based on presentation and expedient diagnosis and management to prevent progression to ischemia or perforation. Broad goals of management include evaluation of colon viability, relief of obstruction, and prevention of recurrence. Endoscopic and surgical approaches vary based on the site of volvulus, presence of ischemia or perforation, and patient characteristics. This review outlines the epidemiology, presentation, diagnosis, and management of colonic volvulus. A contemporary diagnostic and treatment algorithm is included.

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来源期刊

Clinics in Colon and Rectal Surgery GASTROENTEROLOGY & HEPATOLOGYSURGERY-SURGERY

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： Clinics in Colon and Rectal Surgery is a review journal that publishes topic-specific issues on diseases of the small bowel, colon, rectum, and anus. Designed for clinicians, researchers, and educators involved with diseases of the intestinal tract, the journal covers a broad spectrum of basic information, controversial clinical issues, and established and innovative diagnostic techniques. Issue topics comprehensively cover the entire specialty over a 3-4 year period, allowing the articles to serve as study material for educational programs and certifying examinations. The inclusion of research and clinical material also allows physicians to remain knowledgeable of current advances in the specialty.