Management and risk factors for colonic volvulus: retrospective national cohort study.

ABSTRACT:

Background

This study evaluated the outcomes of colonic volvulus management in a national cohort, and identified risk factors for morbidity and mortality.

Methods

This was a multicentre national retrospective study of patients presenting with colonic volvulus between 2010 and 2019. Main outcome measures were 30-day and 1-year mortality. Multivariable regression and Kaplan-Meier analyses were used to study predictors of mortality and survival.

Results

Of the 559 patients presenting with sigmoid volvulus, 381 underwent surgery and 178 received conservative treatment. The 30-day mortality rates were 11.0% and 19.0%, respectively. Emergency surgery (P = 0.030), nursing home residence (P = 0.040), increased co-morbidity (P = 0.017), and male sex (P = 0.029) predicted posto

SUBMITTER: Rasilainen S 

PROVIDER: S-EPMC12461565 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature