Skip to Content
Home > Patients & Visitors > Health Library > Treating a Twisting Bowel Obstruction
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 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.footnote 1
is less defined for an obstruction caused by twisting of the
cecum 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.
Turnage RH, Heldmann M (2010). Intestinal obstruction. In M Feldman et al., eds., Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 9th ed., vol. 2, pp. 2105–2120. Philadelphia: Saunders.
ByHealthwise StaffPrimary Medical ReviewerE. Gregory Thompson, MD - Internal MedicineSpecialist Medical ReviewerJerome B. Simon, MD, FRCPC, FACP - Gastroenterology
Current as ofNovember 14, 2014
Current as of:
November 14, 2014
E. Gregory Thompson, MD - Internal Medicine & Jerome B. Simon, MD, FRCPC, FACP - Gastroenterology
How this information was developed to help you make better health decisions.
To learn more, visit Healthwise.org
© 1995-2015 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
Feeling under the weather?
Use our interactive symptom checker to evaluate your symptoms and determine appropriate action or treatment.
Our interactive Decision Points guide you through making key health decisions by combining medical information with your personal information.
You'll find Decision Points to help you answer questions about:
Get started learning more about your health!
Our Interactive Tools can help you make smart decisions for a healthier life. You'll find personal calculators and tools for health and fitness, lifestyle checkups, and pregnancy.
Send Us Your Feedback
North Kansas City Hospital.