{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:14:33Z","timestamp":1782494073405,"version":"3.54.5"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T00:00:00Z","timestamp":1679961600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T00:00:00Z","timestamp":1679961600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Grants from the National Nature Science Foundation of China","award":["(No: 82003152)"],"award-info":[{"award-number":["(No: 82003152)"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The aim of this study is to investigate the clinical characteristics and treatment experience of intestinal volvulus, and to analyze the incidence of adverse events and related risk factors of intestinal volvulus.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Thirty patients with intestinal volvulus admitted to the Digestive Emergency Department of Xijing Hospital from January 2015 to December 2020 were selected. The clinical manifestations, laboratory tests, treatment and prognosis were retrospectively analyzed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 30 patients with volvulus were enrolled in this study, including 23 males (76.7%), with a median age of 52 years (33\u201366 years). The main clinical manifestations were abdominal pain in 30 cases (100%), nausea and vomiting in 20 cases (67.7%), cessation of exhaust and defecation in 24 cases (80%), and fever in 11 cases (36.7%). The positions of intestinal volvulus were jejunum in 11 cases (36.7%), ileum and ileocecal in 10 cases (33.3%), sigmoid colon in 9 cases (30%). All 30 patients received surgical treatment. Among the 30 patients underwent surgery, 11 patients developed intestinal necrosis. We found that the longer the disease duration (&gt;\u200924\u00a0h), the higher the incidence of intestinal necrosis, and the higher the incidence of ascites, white blood cell count and neutrophil ratio in the intestinal necrosis group were significantly higher than those in the non-intestinal necrosis group (p\u2009&lt;\u20090.05). After treatment, 1 patient died of septic shock after operation, and 2 patients with recurrent volvulus were followed up within 1 year. The overall cure rate was 90%, the mortality rate was 3.3%, and the recurrence rate was 6.6%.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Laboratory examination, abdominal CT and dual-source CT are very important for the diagnosis of volvulus in patients with abdominal pain as the main symptom. Increased white blood cell count, neutrophil ratio, ascites and long course of disease are important for predicting intestinal volvulus accompanied by intestinal necrosis. Early diagnosis and timely intervention can save lives and prevent serious complications.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12876-023-02699-2","type":"journal-article","created":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T15:02:57Z","timestamp":1680015777000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Analysis of clinical diagnosis and treatment of intestinal volvulus"],"prefix":"10.1186","volume":"23","author":[{"given":"Yuhong","family":"Fo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyu","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongqiang","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lifang","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,3,28]]},"reference":[{"key":"2699_CR1","doi-asserted-by":"crossref","unstructured":"Dolejs SC, Guzman MJ, Fajardo AD, Holcomb BK, Robb BW, Waters JA. Contemporary management of sigmoid volvulus. J Gastrointest Surg. 2018 Aug;22(8):1404e1411.","DOI":"10.1007\/s11605-018-3747-4"},{"key":"2699_CR2","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1016\/j.suc.2018.06.005","volume":"98","author":"ZM Bauman","year":"2018","unstructured":"Bauman ZM, Evans CH, Volvulus. Surg Clin N Am. 2018;98:973\u201393.","journal-title":"Surg Clin N Am"},{"issue":"4","key":"2699_CR3","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1007\/s00383-020-04797-8","volume":"37","author":"T Zhang","year":"2021","unstructured":"Zhang T, Feng H, Cao Y, et al. Long-term outcomes of various pediatric short bowel syndrome in China. Pediatr Surg Int. 2021;37(4):495\u2013502.","journal-title":"Pediatr Surg Int"},{"issue":"6","key":"2699_CR4","first-page":"412","volume":"44","author":"O Iwuagwu","year":"1999","unstructured":"Iwuagwu O, Deans, et al. Small bowel volvulus: a review. J R Coll Surg Edinb. 1999;44(6):412\u20133.","journal-title":"J R Coll Surg Edinb"},{"issue":"4","key":"2699_CR5","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1055\/s-0032-1329535","volume":"25","author":"D Gingold","year":"2012","unstructured":"Gingold D, Murrell Z. Management of colonic volvulus. Clin Colon Rectal Surg. 2012;25(4):236\u201344.","journal-title":"Clin Colon Rectal Surg"},{"key":"2699_CR6","doi-asserted-by":"crossref","unstructured":"Perrot L, Fohlen A, Alves A, Lubrano J. Management of the colonic volvulus in 2016. J Visceral Surg. 2016;153(3):183\u201392.","DOI":"10.1016\/j.jviscsurg.2016.03.006"},{"key":"2699_CR7","doi-asserted-by":"crossref","unstructured":"Kulaylat AS, Stewart DB. Management of Colonic Volvulus. 2019.","DOI":"10.1007\/978-3-319-98497-1_58"},{"key":"2699_CR8","doi-asserted-by":"crossref","unstructured":"Huang J. Small bowel volvulus among adults. J Gastroenterol Hepatol. 2005;20.","DOI":"10.1111\/j.1440-1746.2005.03945.x"},{"key":"2699_CR9","doi-asserted-by":"crossref","unstructured":"Haak BW, Bodewitz ST, Kuijper CF et al. Intestinal malrotation and volvulus in adult life. Int J Surg Case Rep. 2014.","DOI":"10.1016\/j.ijscr.2014.02.013"},{"issue":"1","key":"2699_CR10","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1097\/01.rct.0000191680.28344.f0","volume":"30","author":"MJ Gollub","year":"2006","unstructured":"Gollub MJ, Yoon S, Smith LM, et al. Does the CT whirl sign really predict small Bowel Volvulus?: experience in an Oncologic Population. J Comput Assist Tomogr. 2006;30(1):25\u201332.","journal-title":"J Comput Assist Tomogr"},{"key":"2699_CR11","doi-asserted-by":"crossref","unstructured":"Zachary M, Bauman, Charity H, et al. Volvulus. The Surgical clinics of North America; 2018.","DOI":"10.1016\/j.suc.2018.06.005"},{"key":"2699_CR12","doi-asserted-by":"crossref","unstructured":"Ndong A, Patel B. Safety and efficacy of laparoscopic surgery in the management of sigmoid volvulus: a systematic review and meta-analysis. Surgery Open Digestive Advance; 2022.","DOI":"10.1016\/j.soda.2022.100052"},{"issue":"4","key":"2699_CR13","doi-asserted-by":"publisher","first-page":"e329","DOI":"10.1016\/j.jemermed.2012.08.023","volume":"44","author":"DJ Birnbaum","year":"2013","unstructured":"Birnbaum DJ, Gr\u00e8goire E, Campan P, et al. Primary small Bowel Volvulus in Adult. J Emerg Med. 2013;44(4):e329\u201330.","journal-title":"J Emerg Med"},{"issue":"4","key":"2699_CR14","doi-asserted-by":"publisher","first-page":"e0175866","DOI":"10.1371\/journal.pone.0175866","volume":"12","author":"X Li","year":"2017","unstructured":"Li X, Zhang J, Li B, et al. Diagnosis, treatment and prognosis of small bowel volvulus in adults: a monocentric summary of a rare small intestinal obstruction. PLoS ONE. 2017;12(4):e0175866.","journal-title":"PLoS ONE"}],"container-title":["BMC Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-023-02699-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12876-023-02699-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-023-02699-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T15:03:09Z","timestamp":1680015789000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgastroenterol.biomedcentral.com\/articles\/10.1186\/s12876-023-02699-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,28]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["2699"],"URL":"https:\/\/doi.org\/10.1186\/s12876-023-02699-2","relation":{},"ISSN":["1471-230X"],"issn-type":[{"value":"1471-230X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,28]]},"assertion":[{"value":"6 November 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 February 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 March 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study protocol was approved by the Ethics Committee of Xijing Hospital and complied with the Declaration of Helsinki. The need for informed consent was waived by the Ethics Committee of Xijing Hospital owing to its retrospective study design.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The author declare that they have no conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"93"}}