Surgical management of cecal volvulus using endoscopic reduction as a bridge to elective laparoscopic surgery: a three-case series
Abstract
Cecal volvulus is a rare cause of bowel obstruction, typically managed by emergency surgery. Endoscopic reduction is generally not recommended due to its low success rate and risk of perforation. However, emergency surgery often requires laparotomy and may be associated with substantial surgical invasiveness. To reduce surgical invasiveness and avoid the risks associated with emergency surgery, we adopted a bridge-to-surgery strategy using endoscopic reduction followed by elective laparoscopic resection, limited to patients without suspected necrosis or perforation. We report three cases. Endoscopic reduction was successful in two patients, allowing subsequent elective laparoscopic surgery. In contrast, reduction failed in one patient, who underwent emergency surgery, during which cecal necrosis and perforation were identified. The patient subsequently died postoperatively. This case series discusses the potential role, indications, and current limitations of endoscopic reduction as a bridge to surgery in cecal volvulus.
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BibTeX
@article{suzuki2026surgical,
title = {{Surgical management of cecal volvulus using endoscopic reduction as a bridge to elective laparoscopic surgery: a three-case series}},
author = {Kaita Suzuki and Koshiro Harata and Ryo Taguchi and Rena Saito and Nobuaki Kagohashi and Ryosuke Niwamoto and Motoki Futamata and Tsuyoshi Saito and Shuji Koide and Takeyasu Katada and Futoshi Teranishi and Shuji Takiguchi},
journal = {Journal of surgical case reports},
year = {2026},
month = oct,
doi = {10.1093/jscr/rjag971},
url = {https://europepmc.org/article/PMC/PMC13722120},
note = {CC BY},
}
RIS
TY - JOUR
TI - Surgical management of cecal volvulus using endoscopic reduction as a bridge to elective laparoscopic surgery: a three-case series
AU - Kaita Suzuki
AU - Koshiro Harata
AU - Ryo Taguchi
AU - Rena Saito
AU - Nobuaki Kagohashi
AU - Ryosuke Niwamoto
AU - Motoki Futamata
AU - Tsuyoshi Saito
AU - Shuji Koide
AU - Takeyasu Katada
AU - Futoshi Teranishi
AU - Shuji Takiguchi
PY - 2026
DA - 2026/10/01
JO - Journal of surgical case reports
DO - 10.1093/jscr/rjag971
UR - https://europepmc.org/article/PMC/PMC13722120
AB - Cecal volvulus is a rare cause of bowel obstruction, typically managed by emergency surgery. Endoscopic reduction is generally not recommended due to its low success rate and risk of perforation. However, emergency surgery often requires laparotomy and may be associated with substantial surgical invasiveness. To reduce surgical invasiveness and avoid the risks associated with emergency surgery, we adopted a bridge-to-surgery strategy using endoscopic reduction followed by elective laparoscopic resection, limited to patients without suspected necrosis or perforation. We report three cases. Endoscopic reduction was successful in two patients, allowing subsequent elective laparoscopic surgery. In contrast, reduction failed in one patient, who underwent emergency surgery, during which cecal necrosis and perforation were identified. The patient subsequently died postoperatively. This case series discusses the potential role, indications, and current limitations of endoscopic reduction as a bridge to surgery in cecal volvulus.
SN - 2042-8812
ER -