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Treating a Twisting Bowel Obstruction - Topic Overview

Doctors have several options for treating a bowel obstruction caused by twisting of the intestine. The choice of procedure depends on the location of the obstruction.

If the obstruction is caused by a twisting of the sigmoid camera.gif area of the large intestine, a doctor may try to straighten out the twisting segment with lighted instruments (such as a proctoscope or sigmoidoscope) or a barium enema. But surgery is sometimes needed to fix twisting of the intestine. Twisting of the sigmoid colon recurs in 25 to 50 out of 100 cases after nonsurgical treatments.1

Treatment is less defined for an obstruction caused by twisting of the cecum camera.gif of the large intestine. Doctors may try several treatments. The blocked section can be removed and the ends reattached. In another type of surgery, the cecum can be attached to the abdominal (belly) wall so that it won't twist (cecopexy). A third option is to place a tube into the cecum (cecostomy) through a small incision in the abdomen. This procedure often is done for people who are not strong enough to have the other surgeries.

    This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http:// cancer .gov or call 1-800-4-CANCER.

    WebMD Medical Reference from Healthwise

    Last Updated: April 29, 2013
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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