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VOLVULUS OF THE TRANSVERSE COLON: A POSTOPERATIVE COMPLICATION OF TRUNCAL VAGOTOMY and GASTROJEJUNOSTOMY
Author(s) -
Sormann Gerard W.,
Hardy K. J.
Publication year - 1976
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1976.tb03326.x
Subject(s) - medicine , transverse colon , vagotomy , complication , volvulus , surgery , gastroenterostomy , general surgery , gastrectomy , cancer
An instance of volvulus of the transverse colon in the postoperative period following truncal vagotomy and anterior gastrojejunostomy is reported. The clinical features of volvulus of the transverse colon are sudden onset of abdominal colic, distension and vomiting. A plain Xray film of the abdomen is diagnostic. Laparotomy is recommended, followed by untwisting alone, or untwisting and colostomy when the bowel is viable, or resection with a transverse colostomy and mucous fistula as a first stage when the bowel is gangrenous.