Sigmoid Volvulus Treatment
The initial treatment for a volvulus includes a nasogastric (NG) tube, which is inserted into the nostril, down the throat and esophagus, and into the stomach. The tube is attached to a suction pump, which removes air and digested food. This relieves pressure that has built up behind the obstructed portion of the intestine.
In most cases, surgery is required to correct a volvulus. Surgery may be performed through a laparoscope or through a conventional incision in the abdomen. A laparoscope is a flexible scope that allows a surgeon to view the inside of the abdomen.
Additional treatment for volvulus may include:
- No food or fluids to eat
- Nasogastric suction to decompress the upper GI tract
- Intravenous fluid
- Medications for nausea and vomiting:
- May relive the intestinal obstruction caused by the volvulus
- Narcotic pain medication:
- For moderate to severe pain
- For short term use only
- Laparoscopic surgery for a volvulus:
- The volvulus is treated without removing a segment of the intestine.
- Open abdominal surgery for a volvulus:
- A segment of the intestine is removed.
Sigmoid Volvulus Questions For Doctor
The following are some important questions to ask before and after the treatment of volvulus.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- Do I need a special exercise program?
- Will I need physical therapy?
- What else can I do to reduce my risk for having a volvulus again?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Sigmoid Volvulus Specialist
Physicians from the following specialties evaluate and treat a volvulus:
Continue to Sigmoid Volvulus Warning Signs
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