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    Volvulus, (Twisted Intestines) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Volvulus, (Twisted Intestines) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Volvulus, (Twisted Intestines) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook84 pages47 minutes

    Volvulus, (Twisted Intestines) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Volvulus is the medical disorder for a complete twisting of the bowels around the mesentery attachment site supporting the bowels.
    It is an infrequent disorder that can affect the stomach, small intestine or parts of the large intestine and is mainly observed in infants or children even though certain types may happen in adults.
    It can also result in the obstruction of the blood supply to the whole intestine itself, which can lead to tissue death within the bowel
    The volvulus is when a loop of intestine twists around itself and the mesentery supporting it, leading to a bowel obstruction.
    Complete obstruction stops food, chyme and waste from traveling further and induces it to back up in the intestines.
    The twisting also obstructs the bowel wall so that blood vessels may become blocked.
    This may decrease the blood flow through it and reduce the intestinal tissue of oxygen.
    Ultimately this will result in ischemia, injury linked with decreased blood flow, or persists further to the point that the tissue of the intestinal wall dies and can even become gangrenous.
    Types of Volvulus
    Neonatal Volvulus is a result of malrotation during fetal development
    Sigmoid Volvulus accounts for 8% of all intestinal obstructions, frequent in elderly persons and constipated patients.
    Cecal Volvulus is connected to the abdominal wall along with the ascending colon due to an anatomic anomaly.
    Gastric Volvulus is a twisting of the stomach which may involve the cardia (first part of the stomach) or the complete stomach.
    In adults the most often involved segment of the intestines is the sigmoid colon with the cecum being second most involved.
    A volvulus tends more likely to happen with an anatomic anomaly even in the absence of any other disease.
    A volvulus may start with certain diseases:
    1. Hirschsprung disease
    2. An enlarged colon (Megacolon)
    3. Intestinal pseudo-obstruction
    4. Intussusception
    Volvulus is most often caused by a birth defect called malrotation
    Volvulus produces symptoms by:
    1. The extent of bowel obstruction manifested as abdominal distension and bilious vomiting
    2. Ischemia (reduced blood flow) to the involved section of the intestinal wall
    Sigmoid volvulus is the most frequent form of volvulus.
    Patients have abdominal pain, distension, and complete constipation
    Volvulus happens most often in middle-aged and elderly men.
    Infants affected by volvulus have an abrupt start of symptoms the same as those of bowel obstruction.
    Diagnosis:
    1. Blood tests to assess the electrolytes may show abnormalities.
    2. Stool guaiac reveals blood in the stool
    3. Barium enema often reveals an abnormal position of the bowel, indicating malrotation.
    4. CT scan may show evidence of intestinal obstruction.
    5. An upper GI X-ray with small bowel follow-through reveals a malrotated bowel or midgut volvulus.
    Non-surgical treatment
    This may be suitable for older patients with intestinal malrotation who are asymptomatic but they should be cautioned that volvulus can happen at any time.
    Examination and GI decompression with a nasogastric or orogastric tube should be started.
    The presence of any intestinal obstruction requires instant surgery
    The patient is resuscitated with intravenous isotonic crystalloid solution to correct fluid deficits and hypo-volemia (low blood volume).
    Sigmoidoscopic de-torsion is effective in more than 90% of patients with sigmoid volvulus, but colonoscopic de-torsion is effective in only 10-15% of patients with cecal volvulus.
    1. Ladd's procedure is the treatment of preference in most patients
    It can be done with open surgery or as a laparoscopic procedure.
    2. Sigmoid Colectomy and Hartmann Procedure for Sigmoid Volvulus
    3. Right Hemicolectomy for Cecal Volvulus
    TABLE OF CONTENT
    Introduction
    Chapter 1 Volvulus
    Chapter 2 Causes
    Chapter 3 Symptoms

    LanguageEnglish
    PublisherKenneth Kee
    Release dateAug 5, 2017
    ISBN9781370361366
    Volvulus, (Twisted Intestines) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Volvulus, (Twisted Intestines) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Volvulus,

      (Twisted Intestines)

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2017 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Volvulus (Twisted Intestines), Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Volvulus)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Volvulus

      What is Volvulus?

      Volvulus is the medical disorder for a complete twisting of the bowels around the mesentery attachment site supporting the bowels.

      It is an infrequent disorder that can affect the stomach, small intestine or parts of the large intestine and is mainly observed in infants or children even though certain types may happen in adults.

      It can also result in the obstruction of the blood supply to the whole intestine itself, which can lead to tissue death within the bowel

      The volvulus is when a loop of intestine twists around itself and the mesentery supporting it, leading to a bowel obstruction.

      Often it is termed a twisted bowel.

      The two main features that add to the development of signs and symptoms as well as result in possible complications are blockage and strangulation.

      With the twisting seen in a volvulus, the intestinal lumen

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