Cecopexy, a Reemerging Treatment for Cecal Volvulus: Case Report and Systematic Review

Pencle FJR, Katsichtis T, Schneider J, Strombom PL and Mwesezi SK

Department of Surgery, Lincoln Medical and Mental Health Center, USA

^*Correspondance to: Fabio JR Pencle 

 PDF  Full Text DOI: 10.25107/2474-1647.1838

Abstract

Background: Cecal volvulus accounts for 25% to 40% of volvulus of the large bowel causing obstruction with varying degrees of presentation from obstructive symptoms to bowel necrosis and perforation. In the presence of viable bowel, cecopexy has previously been demonstrated as a treatment method of surgery. The authors aim to demonstrate the feasibility and reemergence of cecopexy as a laparoscopic and open technique.Study
Design: We present a case of open cecopexy in a patient with severe hyponatremia with cecal volvulus and systematic review. A systematic search (January 2017) of PubMed, Scopus, Cochrane and EMBASE databases was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for literature regarding cecal Volvulus and cecopexy. Included studies were peer-reviewed articles or academic society publications. Papers without cecopexy, non-English language, and non-adult cases were excluded.Results: A total of 1080 articles were identified from all four databases through the systematic search 44 articles were then evaluated for surgical procedure performed; only 20 articles described Cecopexy. A total of 316 cases were documented for cecal volvulus with a mean age of 51.6 ± 13 years. Further analysis demonstrated 83 cases of resection and 114 cases for cecopexy. Overall cecopexy recurrence rate was 8.8%.Conclusion: Operative intervention is the preferred management of cecal volvulus. Cecopexy can be performed in patients who have viable bowel and require further resuscitation. This can be performed either via open or laparoscopic approach. Patient with non-viable bowel require resection with either primary anastomosis or colostomy.

Keywords

Cecopexy; Cecal volvulus; Cecal bascule; Literature review; Beer potomania; Hyponatremia

Cite the article

Pencle FJR, Katsichtis T, Schneider J, Strombom PL, Mwesezi SK. Cecopexy, a Reemerging Treatment for Cecal Volvulus: Case Report and Systematic Review. Clin Surg. 2017; 2: 1838.