Gastroenterology MCQ Answer 18
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Answer: b, c
The most common site of volvulus is the sigmoid colon, accounting for 65% of cases. The preferred method and management involves endoscopic decompression. This conservative approach resolves the volvulus in 85% to 90% of cases, and elective resection of the redundant segment can then be planned. Following endoscopic decompression, recurrence of the volvulus is higher than 60% if sigmoid resection is not performed. If the patient presents with peritoneal findings, sepsis, and shock, rapid resuscitation followed by urgent resection and colostomy is warranted.
Category: Gastroenterology MCQs
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