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Colonic Volvulus

At GastroDoxs in Katy, we provide comprehensive, expert colonic volvulus diagnosis and minimally invasive treatment, offering compassionate, same-day care and advanced imaging technology to quickly relieve obstruction and improve gut health for Central Texas residents and local neighboring communities.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What is Colonic Volvulus?

Colonic volvulus occurs when a portion of the large intestine twists around itself, causing an obstruction of stool and blood flow. This can lead to severe pain, swelling, and if untreated, tissue damage or perforation.

Common Symptoms

Symptoms of colonic volvulus often come on suddenly. Watch for signs like:

  • Sharp or crampy abdominal pain
  • Swollen or distended belly
  • Inability to pass gas or have a bowel movement
  • Nausea and vomiting
  • Rapid heartbeat or fever in more severe cases

Causes

Several factors increase the risk of developing colonic volvulus:

  • Chronic constipation
  • Long-term laxative use
  • An unusually long or mobile segment of colon
  • Neurological disorders (e.g., Parkinson's disease)
  • Adhesions or scar tissue from prior surgeries
  • Advanced age (over 60 years)
Treatment

Treatment Options for Colonic Volvulus in Katy

Treatment includes prompt intervention and supportive care:

  • Endoscopic detorsion: A flexible scope is used to untwist the affected segment of colon and relieve the obstruction.
  • Surgical intervention: If detorsion fails or the bowel is compromised, surgery is performed to resect or fixate the twisted section.
  • Intravenous (IV) fluids and antibiotics: Aggressive fluid resuscitation and broad-spectrum antibiotics help stabilize the patient and prevent infection.
  • Bowel rest and nasogastric decompression: Patients may be kept NPO (nothing by mouth) and have a tube placed to relieve pressure until bowel function returns.
  • Post-operative diet advancement: Gradual reintroduction of clear liquids, then soft foods, before resuming a normal high-fiber diet to promote regular bowel movements.
  • Follow-up imaging and visits: Repeat X-rays or CT scans and clinic appointments ensure the colon remains in proper position and function is restored.

Why Choose GastroDoxs?

With a focus on patient-centered care and comprehensive digestive health solutions, GastroDoxs provides expert diagnostics and effective treatment for abdominal distension and related conditions. Our approach is rooted in compassionate, personalized care to help you achieve long-term relief and improved quality of life.

If you're experiencing symptoms of colonic volvulus or other gastrointestinal concerns, don't wait-schedule your appointment today. Our Katy-based gastroenterologists are ready to offer prompt, trusted care. Call us at 832-632-4070 or book online now to get started.

1.5K

Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is the ICD-10 code for colonic volvulus?

The official ICD-10 code for colonic volvulus is K56.2.

How is colonic volvulus diagnosed?

Diagnosis typically involves abdominal X-rays, CT scans to visualize the twist in detail, and sometimes colonoscopy to confirm the finding and assess viability.

What does an X-ray show in cases of colonic volvulus?

An abdominal X-ray may reveal a classic "coffee-bean" or bent inner tube sign, indicating a twisted loop of bowel with air-fluid levels.

Who is most at risk for developing colonic volvulus?

Risk factors include older age (over 60), chronic constipation, long-term laxative use, a lengthy or mobile colon, neurological disorders (e.g., Parkinson's), and prior abdominal surgeries.

Is quick treatment important for colonic volvulus?

Yes. Prompt intervention-ideally within 24 hours-helps restore blood flow, prevents bowel ischemia or perforation, and reduces complications.

Can colonic volvulus recur after treatment?

Recurrence is possible, especially if only endoscopic detorsion is performed. Some patients may require surgery (resection or fixation) to prevent repeat episodes.

What other conditions can mimic colonic volvulus?

Differential diagnoses include large-bowel obstruction from cancer, diverticulitis with strictures, and colonic pseudo-obstruction (Ogilvie's syndrome).

Is surgery always required to treat colonic volvulus?

No. Uncomplicated cases may be managed with endoscopic detorsion. However, surgical resection or fixation is often recommended for recurrent or complicated cases.

How long does recovery take after colonic volvulus treatment?

Most patients remain hospitalized for three to seven days, depending on the treatment method (endoscopic versus surgical) and overall health status.

Where can I find expert care for colonic volvulus near Katy, Texas?

GastroDoxs in Katy offers rapid evaluation by local gastroenterologists, advanced imaging and endoscopic procedures, and personalized treatment plans to help you recover safely.

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