Management and risk factors for colonic volvulus: retrospective national cohort study
Surgery should be recommended for colonic volvulus where co-morbidity, patient preference, and functional status allows. Surgically unfit patients have poorer outcomes. Elective sigmoidectomy after endoscopic detorsion is preferred as it carries the lowest mortality risk. Necrotic bowel, dependency, and co-morbidities predict death for both sigmoid and caecal volvulus.
Authors
- Tarja Pinta (ORCID: https://orcid.org/0000-0002-2149-6776)
- Susanna Niemeläinen (ORCID: https://orcid.org/0000-0003-1910-2640)
- Tom Scheinin (ORCID: https://orcid.org/0000-0003-1283-0426)
- Antti Kivelä (ORCID: https://orcid.org/0000-0001-9588-0503)
- Suvi Rasilainen
- Anne Mattila (ORCID: https://orcid.org/0000-0001-6517-1765)
- Pälvi Vento
- Niko Turkka
- Ilona Helavirta (ORCID: https://orcid.org/0000-0003-1810-3713)
- Jukka M. J. Rintala (ORCID: https://orcid.org/0000-0003-1865-8444)
- Pasi Pengermä (ORCID: https://orcid.org/0000-0002-2349-0765)
- Sanna Moilanen (ORCID: https://orcid.org/0000-0001-7711-3140)
- Mohamud Aden (ORCID: https://orcid.org/0000-0001-7490-0069)
- Kapo Saukkonen
- Sakari Pakarinen
- Jenny Häggblom
Institutions
- University of Helsinki (FI)
- Seinäjoki University of Applied Sciences (FI)
- Oulu University Hospital (FI)
- Helsinki University Hospital (FI)
- Turku University Hospital (FI)
- North Karelia Central Hospital (FI)
- Lapland Central Hospital (FI)
- Vaasa Central Hospital (FI)
- Kotka Maritime Research Centre (FI)
- Tampere University Hospital (FI)
- Päijät-Hämeen Keskussairaala (FI)
- Tampere University (FI)
- University of Jyväskylä (FI)
Publication Details
- Journal
- BJS Open
- Published
- 2025-09-08
- DOI
- https://doi.org/10.1093/bjsopen/zraf113
- Citations
- 1
- Primary Topic
- Intestinal Malrotation and Obstruction Disorders
- Type
- article
- Field-Weighted Citation Impact
- 2.01