What causes cecal bascule?

Published by Charlie Davidson on

What causes cecal bascule?

During embryogenesis, abnormal fusion of right colonic mesentery to the lateral wall causes malfixation of the cecum. This predisposes the cecum to move freely especially during operative manipulation. It remains unclear whether gastric bypass surgery is an etiological factor in the development of cecal bascule.

How is cecal bascule treated?

With cecal volvulus, the torsion is usually in a clockwise direction. Vascular compromise is more common in cecal volvulus compared to sigmoid volvulus. The plain x-rays are usually adequate for diagnosis. The options for treatment include endoscopic decompression, cecopexy or a right hemicolectomy.

How do you fix a cecal volvulus?

The procedure for treating cecal volvulus is called a cecopexy. Your surgeon will move the cecum back to its proper position in the abdominal wall. Intestinal resection surgery. If the cecum is severely damaged from being twisted, your doctor may recommend intestinal resection surgery.

Can a cecal volvulus recur?

There were no recurrences of cecal volvulus in the entire series during follow-up which extended to 17 years, averaged 5.7 years, and was complete in 96% (42/44) of survivors. When gangrenous cecum is present, resection is the treatment of choice.

Can the cecum be removed?

Ileocecal resection is the surgical removal of the cecum along with the most distal portion of the small bowel—specifically, the terminal ileum (TI). This is the most common operation performed for Crohn disease, though other indications also exist (see below).

Is cecal volvulus an emergency?

Discussion. The management of cecal volvulus requires prompt (emergency) diagnosis and prompt surgical intervention. Any delay in diagnosis may lead to intestinal necrosis or perforation and worsening the prognosis in patients who are generally elderly.

Who gets cecal volvulus?

Cecal volvulus is usually seen in adults of both sexes and all racial backgrounds who are between the ages of 30 and 60. 2 The symptoms of cecal volvulus can be similar to other gastrointestinal conditions, such as appendicitis, irritable bowel syndrome, inflammatory bowel disease, and gastroenteritis (stomach flu).

What happens when you remove the cecum?

Furthermore, removal of the cecum altered immune and inflammatory responses to infection including increased inflammatory markers in the proximal colon (Tnfα, Il10, βd1), and heightened inflammatory response in the proximal and distal colon (Ifnγ, Tnfα, Relmβ).

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