Colonic volvulus is a twisting of part of the large intestine that blocks stool passage and can cut off blood flow. It's often called volvulus of the colon or, when it occurs in the lower segment, sigmoid volvulus. Without prompt treatment, this condition can lead to serious complications. A gastroenterologist in Houston can diagnose and treat it quickly to prevent further damage.
Symptoms often appear suddenly and indicate that the colon is not functioning properly. These may include:
Several factors can increase the risk of developing colonic volvulus:
If you're experiencing symptoms of colonic volvulus or need a second opinion, don't wait. Our board-certified gastroenterologists at GastroDoxs in Houston are ready to provide prompt evaluation, personalized treatment plans, and compassionate follow-up care. Call us or book online now to take charge of your digestive health and get the expert attention you deserve.
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If left untreated, the twist can cut off blood flow to the bowel, leading to tissue death (necrosis), perforation, infection (peritonitis), sepsis, and potentially life-threatening complications.
Doctors use abdominal X-rays and CT scans to identify the location and severity of the twist. A flexible scope (sigmoidoscopy or colonoscopy) may also be performed to confirm the diagnosis and, in some cases, treat the volvulus.
Colonic volvulus is relatively rare in the U.S. It's seen more often in older adults or those with chronic constipation, prior abdominal surgery, or certain anatomical variations of the colon.
Yes, although it's uncommon. In children, look for sudden, severe abdominal pain, bloating, vomiting, and inability to pass gas or stool. Prompt evaluation is essential.
After a sigmoidectomy or other corrective surgery, most patients stay in the hospital for 3-5 days. Recovery includes pain management, gradual advance from clear liquids to a regular diet, and follow-up visits to monitor healing.
Yes. In many cases, a gastroenterologist can perform endoscopic detorsion using a flexible tube to untwist the colon. Bowel rest and IV fluids support the patient while the colon recovers.
Maintain a high-fiber diet, stay well-hydrated, avoid excessive straining during bowel movements, and attend regular checkups. Your doctor may recommend dietary adjustments or periodic monitoring if you're at higher risk.
Sigmoid volvulus is more common because that segment of colon is naturally mobile. If not treated quickly, it carries a higher risk of ischemia and perforation. Early intervention reduces these risks.
Seek immediate care if you experience sudden, intense abdominal pain or cramps, persistent vomiting, abdominal swelling, or the inability to pass gas or stool for several hours.
With prompt treatment, most people recover fully. Delayed care can result in complications such as recurrent volvulus, adhesions, or the need for a permanent ostomy in severe cases.
