Final answer:
The management of cecal volvulus involves both conservative and surgical approaches. Conservative management includes detorsion and decompression, while surgical management involves cecal resection or right hemicolectomy.
Step-by-step explanation:
Cecal volvulus management
The management of cecal volvulus involves both conservative and surgical approaches. Conservative management includes detorsion of the volvulus, which can be done either endoscopically or radiographically, and decompression of the bowel through the insertion of a nasogastric tube. Surgical management is typically required for patients with recurrent or complicated volvulus, and involves a procedure called a cecal resection or a right hemicolectomy.
Examples:
Conservative management: A patient with a mild cecal volvulus may undergo endoscopic detorsion, where a flexible tube is inserted into the colon to untwist the volvulus.
- Surgical management: In more severe cases, surgery may be necessary to remove the twisted portion of the colon and perform a cecal resection or right hemicolectomy.