A DISEASE REVIEW ON BADDAGUDODARA: INTESTINAL OBSTRUCTION W.S.R TO SIGMOID AND CAECAL VOLVULUS

Abstract

The term volvulus is derived from the Latin word volvere (“to twist”). Cases of volvulus were described in ancient Egypt as early as 1550 BC. It occurs most frequently in Africa, the Middle East and India. Rates of volvulus in the United States are about 2–3 per 100,000 people per year. Sigmoid and caecal volvulus typically occurs between the ages of 30 and 70. A colonic volvulus occurs when a part of the colon twists on its mesentery, resulting in acute, sub acute, or chronic colonic obstruction. The main types of colonic volvulus are sigmoid volvulus and caecal volvulus. Diagnosing the potentially life-threatening conditions that present with gastrointestinal symptoms is itself a challenging job for a surgeon Before the 19th century, management of patients with volvulus was largely expectant. Gradually, as nonintervention became associated with a high mortality, early surgical treatment became a widely accepted practice. Patients with volvulus are commonly elderly, debilitated, and bedridden. Often, the patient has a history of dementia or neuropsychiatric impairment. The patient may describe previous episodes of abdominal pain, distention, and obstipation, which suggest repeated subclinical episodes of volvulus. Disease entity Volvulus can be closely compared with Badda Gudodara as explained in classics and it has been told by Acharyas as Shastra sadhya and also Asadhya vyadhi as during those times prognosis of the disease was poor. Surgical intervention was mentioned to treat Baddha Gudodara , which contemplates the severity of the disease as well as excellence in the field of surgery by our Great Acharyas thousands of years back.