Understanding Volvulus (Twisted Bowel)

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  • Опубліковано 6 чер 2024
  • This video contains a visual explanation of volvulus, aimed at helping students of medicine and healthcare professionals prepare for exams.
    Written notes on volvulus are available on the website at:
    zerotofinals.com/surgery/gene...
    See how I make videos like this: • How I Make Zero to Fin...
    How to Learn Medicine channel: / @tomwatchman
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    Flashcards:
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    Website: www.zerotofinals.com
    Notes: www.zerotofinals.com/learn
    Questions: zerotofinals.com/questions/

КОМЕНТАРІ • 76

  • @aniket7709
    @aniket7709 2 роки тому +20

    I was saturated studying surgery , i had my finals for surgery today and in the morning I actually came to see a video for intussception in the recommended section FORTUNATELY i found this video and i thought “ok why not” I followed it up in my book.
    My main Essay question for today’s Surgery Final University exams came as “Sigmoid Volvulus” and i FREAKING WROTE EVERYTHING!!!!
    I could literally hear you sayin “TOM TIP REMEMBER WE SEE A COFFEE BEAN SIGN..” and top to bottom everything from this video was there in my paper ! Thank you so much , no one was expecting this question in our finals this yr and you helped me out !!♥️

    • @ZeroToFinals
      @ZeroToFinals  2 роки тому +1

      Wow this is cool! Hope it went really well

  • @victoriagray3925
    @victoriagray3925 Рік тому +50

    Please don’t forget to mention the excruciating abdominal pain pre surgery while bowel is twisting, comes in waves extremely frightening for patient.

    • @TheeCapN
      @TheeCapN Рік тому +2

      Literally in the er typing this and yup. Pain comes and goes i thought it was an ulcer due to taking 800mg ibuprofen for my shoulder pain. Nope. My intestine was just a pretzel lol and the pain is absolutely unbearable

    • @lavettejohnson2287
      @lavettejohnson2287 11 місяців тому +2

      I relate just had emergency surgery

    • @kelsovina
      @kelsovina 10 місяців тому +2

      Just got home from hospital. Had a surgery week ago. 27hrs of pain till I got on the table

    • @ikaikakekauoha2714
      @ikaikakekauoha2714 7 місяців тому +1

      @@kelsovinadamn my dad is in the ER now. Had bad pain since last night.

    • @gabrielle8140
      @gabrielle8140 6 місяців тому +1

      I had emergency surgery in April then again 3 weeks ago

  • @CurtisCT
    @CurtisCT 9 місяців тому +8

    Speaking as a patient, one morning many years ago I woke up with severe pain in my abdomen. Thinking it was probably gas, I tried at first to just ignore it, but it just kept getting worse and worse. After about half an hour it was so excruciating that I could hardly walk! This was by far THE WORST pain I'd ever felt in my life! I crawled to my car and decided to drive myself to the emergency room which was only a few minutes away. They quickly did an x-ray and informed me that my intestines and stomach were twisted into a knot and that they had to operate IMMEDIATELY! By this time I was crumbled into a ball on the floor in pain. The pain I felt was the blood supply being choked off, if they waited even a minute longer, then my intestines would have atrophied from a lack of blood. The next thing I knew, I woke up in a hospital bed the next morning with a long scar across my stomach. According to the doctors, it's something that just happens, and when it does, either you get to a hospital right away for emergency surgery or you die.

    • @aoussaad3496
      @aoussaad3496 2 місяці тому

      Alhamdu ALLAH for ur safety ma'am

  • @davidmccourt8174
    @davidmccourt8174 3 місяці тому +2

    I had hiatus hernia surgery in April 2022 but it failed , a few months after, my stomach started to twist and become obstructed as half of my stomach was in my chest. Absolutely excruciating! Had more hiatus hernia surgery again in October the same year, in hospital for 3 weeks. In and out of hospital leading up to February 2023 when I almost died from gastric volvulus, had 2 more lots of emergency surgery!
    Found out in September 2023 that half of my stomach is back in my chest again and that my diaphragm is so weakened and damaged. Surgeon told me that my diaphragm would never stop my stomach from pushing back into my chest, also that my stomach could become twisted and obstructed again, even if they tried to repeat the procedure again, which he told me would now be too risky. I'm now in constant fear of that happening again!

  • @alevelsciencehelper
    @alevelsciencehelper 2 роки тому +1

    Thanks, Tom! Excellent video as always

  • @kevinrichards8119
    @kevinrichards8119 Рік тому +1

    Keep them coming for 2023 .Thankyou

  • @fatima3590
    @fatima3590 Рік тому +8

    Volvulus definition 0:28
    Types 1:18
    Risk factors 2:14
    Presentation 2:33
    Diagnosis 2:55
    Management 3:30

  • @cheleigha11
    @cheleigha11 2 роки тому +24

    In the hospital still recovering from this surgery. Worst pain ever! Had most of my colon (which was swollen like a puppa fish when they cut me open) cut out and my intestine reconnected.

    • @sopretty1846
      @sopretty1846 Рік тому +2

      i had the same. how are you now?

    • @cheleigha11
      @cheleigha11 Рік тому +2

      @@sopretty1846 a year later as of Valentine’s Day and I still have complications unfortunately. Lost all appetite and quite a few hospital stays since 😭 how about yourself?

    • @akkiigaming7674
      @akkiigaming7674 11 місяців тому

      ​@@cheleigha11what are the causes of your volvulus ?? Please reply

    • @1waynekirkmusic
      @1waynekirkmusic 6 місяців тому

      Does it hurt when get surgery??

  • @obiorahchidera8440
    @obiorahchidera8440 Рік тому +1

    Thank you for this. It really helped.

  • @paulameltzer7713
    @paulameltzer7713 Рік тому +2

    Thank you very much
    This video was very informative
    I had severe abdominal pain and dissension.
    My Dr. ordered an abdominal C.T. Svan.
    It was determined that I had a sigmoid volvulus.
    I had surgery and a bowel resection.
    Thank God I am fine.

  • @hailetekle3303
    @hailetekle3303 2 роки тому +1

    Thanks,it really saves my time.

  • @LeadingCross
    @LeadingCross 2 роки тому +4

    Hi again, great videos!
    I had a question please...
    Do you have any medical info on CIPO?
    Chronic Intestinal Psuedo Obstruction?
    Much appreciated. 👍

  • @Ahmadabddelmageed7009
    @Ahmadabddelmageed7009 2 роки тому +1

    Thank you so much 😊
    Why no more videos for explanation more branches. ?
    Very simple and clear explanation so easy for understanding

  • @marianauroz9845
    @marianauroz9845 Рік тому

    So so good!

  • @ChhaviSaini_3025
    @ChhaviSaini_3025 Рік тому

    Amazing information

  • @mohatik1421
    @mohatik1421 3 місяці тому

    Thank you
    That was very helpful

  • @deepakprajaapti120
    @deepakprajaapti120 Рік тому

    Very use full thank u

  • @neverloseyourvoice5263
    @neverloseyourvoice5263 2 роки тому +2

    What causes a reoccurring volvulus that even happeneds when you no longer have a colon? Also having both of these volvulus types at the same time?? Please answer im dealing with a medical mystery in my family

  • @user-ju7gq5ds5p
    @user-ju7gq5ds5p 8 місяців тому

    Helpful indeed

  • @anezkanejedla8485
    @anezkanejedla8485 3 місяці тому

    great video, thanks :)

  • @aga5897
    @aga5897 Рік тому

    Superb !

  • @tiredsocks
    @tiredsocks Рік тому +5

    I have just unlocked a brand new phobia. thanks!

    • @BillyBobLife
      @BillyBobLife 2 місяці тому

      I just had the surgery for your phobia. The NG tube was by far the worst part, and the fact that you can't sleep for days....but i guess it's worth not dieing :D

    • @tiredsocks
      @tiredsocks Місяць тому

      @@BillyBobLife nightmares

    • @rezaabedi4831
      @rezaabedi4831 11 днів тому

      ​@@BillyBobLifethats right ng tube is worst thing

  • @fatimashahzad7236
    @fatimashahzad7236 11 місяців тому

    Well done😊

  • @deepwithin6517
    @deepwithin6517 Рік тому

    Excuse mecan you make video about fluid management correctly in emergency and no n emergency cases??also how to correct electrolyte imbalance??thank you

  • @augustforman6795
    @augustforman6795 2 роки тому +1

    Wow! I Had This Surgery In New Orleans Where I'm From Back in 2010 When the Saints Won The Superbowl 🏆 I Had Twisted Bowel Myself. & have Tubes in My Stomach.
    "August"

  • @dailydoseofmedicinee
    @dailydoseofmedicinee 2 роки тому +1

    Nice

  • @j3891
    @j3891 11 днів тому

    thank you

  • @hotchocolatebrownie4397
    @hotchocolatebrownie4397 2 роки тому +1

    Tysm sir ☺️👍

  • @srajput8818
    @srajput8818 6 місяців тому

    Thank, it is helpful

  • @naziazazay1558
    @naziazazay1558 Рік тому

    Could you please make video and upload notes on pharyngitis, croup, empyema and pleurisy. Thank you

  • @herb4list
    @herb4list 10 місяців тому +4

    Earlier this year, my brother came home from training one day and complained of
    stomach pains- it came and go. each time every cycle of pain got closer and worse and
    worse. By week two he'd be on the floor screaming and crying. By week three his
    response to pain would be to vomit. It absolutely has scarred me. All I listened two for the
    next two weeks was vomiting- I hardly ate and never left my room. He could not keep anything
    down. We had taken him to the hospital twice and every time they said it was just
    constipation. One day it got really bad and we had to call an ambulance. My grandma picked me
    up from the house and my brother was transported to the hospital where he got one scan done, they
    realized it wasn't normal and demanded he was transferred. After being transferred he was
    taken for tests and soon after taken in for surgery, as been waiting six weeks his bowel could
    have died if left longer. He made a very quick and steady recovery and was back to training
    after two weeks! I am very happy he is better but the impact of listening to him vomit all
    day- not just because I feel bad. Because it haunts me, it makes me feel sick to the point even making
    gagging noises makes me nauseous. Besides the point. his intestines where switched sides, so his
    large intestine is on the opposite of where it was and so is the small intestine. Due to untangling it as it was quite severe.

  • @WhackTony
    @WhackTony Рік тому

    Can this happen from an injury or accident?

  • @fortyfour6626
    @fortyfour6626 4 місяці тому

    This happened to me and I’m recovering. I’m 30 days out of ICU fighting like hell to gain weight. Mine ruptured and I’m lucky to be alive. My surgical team removed 6 feet of necrotic intestine. I describe my pain and “adventure” on my channel. It’s just me talking about what I felt and how it happened. It’s about 18 minutes long. If you are curious about this topic, it’s a decent listen.

  • @FixItStupid
    @FixItStupid 2 роки тому

    TY Good tech

  • @gabialeman9194
    @gabialeman9194 29 днів тому

    I suffered this 10 years ago post anterior back surgery. Ng tube to this day is the worst experience ever. They give IV in ER, you vomit constantly, the NG tube helps, but is super uncomfortable. A week after back surgery I had 8 inches if necrotic bowel removed. Recovery was very rough and long.

  • @user-gz9sk8tk3g
    @user-gz9sk8tk3g 8 місяців тому

    How is cecum.obstruction/volvulous detected?

  • @alfiethepatterdaleterrier5595
    @alfiethepatterdaleterrier5595 10 місяців тому

    I have kept going to the Drs for over 2 years with a very hard distended stomach it certainly isnt fat as my current reading is 14% Body fat. I have stopped having flatulence and also dont have a complete bowl movement only litle bits . Im convinced its a sigmoid volvulas

  • @amiinmohamud6136
    @amiinmohamud6136 Рік тому

    Thnks😍

  • @mrfelix2510
    @mrfelix2510 Місяць тому +1

    Great video, easy to understand. Currently my wife has been diagnosed with volvulus and after watching your video, I understandit much better. She hasn't had a BM in months and has been in a lot of pain. She has been loosing weight, nauseous, vomiting....etc. She skips meals often because she says the pain after is just too much. She does a lot of enemas trying to get a little relief. The doctor is just giving her a variety of laxatives but nothing helps or works. She says that she doesn't know how much longer she can last and from what I read, her condition is extremely bad. She's been trying to see her doctor for about 2 weeks or so now without any luck. I just wish we could find someone that understands her condition, look at her. I'm really starting to wonder just how much longer I'll have her.
    Is there anything she can do at home to help while she's waiting to be seen by a doctor?

    • @daphnefernandez6589
      @daphnefernandez6589 16 днів тому +1

      The poor thing! I would take her to emergency and ask to get all the necessary tests to find out what to do. She may die if she doesn't get the right treatment in time. I will pray for her recovery. God bless you both!

    • @mrfelix2510
      @mrfelix2510 16 днів тому

      @@daphnefernandez6589 we called and they told us all they will do is give her an enema and send her home.

  • @Dr_feelgood_zw
    @Dr_feelgood_zw 8 місяців тому

    Beautiful ❤❤ doing Gensurg here in 🇿🇼

  • @Lmab-qs1kr
    @Lmab-qs1kr 7 місяців тому

    I love u guys

  • @LeadingCross
    @LeadingCross 2 роки тому +1

    Can volvulus be a result of a traumatic event such as a radiotherapy blast that got the stomach instead of a spinal tumor?
    Thanks for any info.

    • @sheridixon190
      @sheridixon190 7 місяців тому

      Wow. I’ve seen this but it got the esophagus. Bad outcome

  • @venkybly
    @venkybly 2 роки тому

    Tq

  • @user-pk7ek6cw9p
    @user-pk7ek6cw9p 10 місяців тому

    رائع

  • @mohdabuzar6736
    @mohdabuzar6736 2 роки тому +1

    👍👍

  • @brainstormingsharing1309
    @brainstormingsharing1309 2 роки тому +2

    👍👍👍👍👍

  • @garykreitz2428
    @garykreitz2428 2 місяці тому

    I had 6 volvulus at first they were in the Colin then they tuck the Colin out they thought it wasn't working then I got volvulus in the small bowl they dedent know why they said it was no good explanation for it now they say I have Crohn's disease

  • @ryobaaishi9968
    @ryobaaishi9968 9 місяців тому

    My mum almost died from it :( if we didnt get her to the hospital 6 hours later it wouldve been to late...

  • @estuardomoran3241
    @estuardomoran3241 2 роки тому

    3:39

  • @YallaBitlBitl
    @YallaBitlBitl 4 місяці тому

    My mom is in the hospital because of this. Please pray for her 😢

  • @victoriagray3925
    @victoriagray3925 Рік тому

    I had a caecal volvulus aged 48 caused by abnormal bowel from birth , I obstruction post surgery and had faecal vomiting which was horrendous, luckily no colostomy and I recovered. Surgeon said 7O% patients die from this .

  • @user-sw6fz1zl4d
    @user-sw6fz1zl4d 2 роки тому +3

    Low fibre diet not high !!!

  • @johno4521
    @johno4521 5 місяців тому

    'Clint Eastwood' is an anagram of 'A Twisted Colon'...

  • @espartanam
    @espartanam 6 місяців тому +1

    honestly, all these laxatives mentioned by doctors make the worse and the quiet opposite. So, the only thing I recommend is colon hydrotherapy. I almost died. The doctors not sure why they don't recommend colonic. Laxatves like miralax -- it seems like once you body get used to these laxatives , it does not respond to making you poop. So the colon hydrotherapy is the best solution i found in my case and figuring out a diet .