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How is a twisted bowel treated?

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WebMD lists different treatments for twisted bowel or a bowel obstruction caused by twisting of the intestine: the sigmoid area may require lit instruments, whereas the cecum may require surgery. Surgery can involve removing the blocked section and reattaching the ends, or attaching the cecum to the belly wall, or inserting a tube through the abdomen into the cecum. When a section of bowel twists abnormally around itself, the intestinal obstruction is called volvulus, explains Drugs.com.

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In a nonsurgical procedure, a doctor may straighten the twisted bowel using instruments such as a proctoscope or sigmoidoscope, or perform a barium enema involving an X-ray exam of the colon and rectum. Afterwards, the sigmoid area may become twisted again in 25 to 50 percent of such cases, notes WebMD.

In terms of surgery, a doctor removes the obstruction and may also take out the affected area of the twisted bowel, says Mayo Clinic. For example, when attaching the cecum to the abdominal wall to prevent twisting, the procedure is called cecopexy, says WebMD. When putting a tube into the cecum through an incision in the belly, the procedure is called cecostomy. This is often the case when the patient is not strong enough to endure other surgical procedures.

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