According to WebMD, the type of treatment a doctor chooses for treating a twisted colon depends on where the obstruction occurs in the colon, but typically those options include use of a barium enema, a lighted scope or surgery. While non-surgical methods are less invasive, they are often not permanent, and as many as half of those treated with such have a occurrence of the issue.
Treatment of an intestinal blockage, including a twisted colon, often requires hospitalization, explains WebMD. In the hospital, the patient receives IV fluids to prevent dehydration. Medical personnel insert an NG tube through the nose to remove liquids and gases. Until the blockage is cleared, the patient does not take food by mouth.
If nonsurgical methods do not work, the doctor moves toward surgery, in which the doctor removes the diseased sections of the colon and reattaches the healthy tissue. WebMD indicates it is possible to attach the colon to the interior of the abdominal wall to hold it in place. If the patient's condition weakens so other options are no longer available, the surgeon may perform a colostomy, attaching the intestine to a port in the abdominal wall through which waste passes into a disposable bag.
Drugs.com indicates the twisted colon becomes a problem as food waste is unable to pass. The issue causes discomfort, nausea, vomiting and expansion of the abdomen. Doctors use CT scans, ultrasounds and X-rays for diagnosis of the twisted colon. If infection or dehydration is noted, the doctor will order blood tests to provide additional information.