ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Laparoscopic Management of Mobile Cecum.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Cecal bascule: a systematic review of the literature.Techniques in coloproctology · 2018Pooled it
- Case Report: Lumbar herniation of a low-grade appendiceal mucinous neoplasm mimicking a chronic abscess.Frontiers in oncology · 2025Article
- Three Surgical Cases of Cecal Volvulus.Cureus · 2024Article
- Article
- Cecal volvulus in rural Kenya: delayed presentation contributes to high mortality.BMC surgery · 2021Article
- Cecal Volvulus Resolved Spontaneously.Internal medicine (Tokyo, Japan) · 2021Article
- Internal hernia with incarceration of the cecum through a loop created by an elongated fallopian tube.Radiology case reports · 2019Article
- Volvulus of the ascending colon due to failure of zygosis: A case report and review of the literature.International journal of surgery case reports · 2019Article
- Surgery to Treat Symptomatic Mobile Cecum Syndrome Is Safe and Associated with Good Recovery Outcomes.Case reports in gastrointestinal medicine · 2018Article
- Case of colonic intussusception secondary to mobile cecum syndrome repaired by laparoscopic cecopexy using a barbed wound suture device.World journal of gastroenterology · 2017Article
- Acute intermittent porphyria after right hemi-colectomy.International journal of surgery case reports · 2017Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThe mobile cecum is an embryologic abnormality and has been associated with functional colon disease (chronic constipation and irritable bowel syndrome). However, unlike functional disease, the primary treatment is operative, using laparoscopic cecopexy. We compare the epidemiology and pathophysiology of mobile cecum syndrome and functional colon disease and propose diagnostic and treatment guidelines.
methodThis study was a case-control series of 15 patients who underwent laparoscopic cecopexy. Age, gender, recurrent abdominal pain, and constipation based on Rome III criteria were assessed. Ileocecal-appendiceal unit displacement was graded as follows: I (cecum retroperitoneal or with little mobility); II (wide mobility, crossing the midline); and III (maximum mobility, reaching the left abdomen). Patients with Grades II and III underwent laparoscopic cecopexy. The clinical outcomes were evaluated according to modified Visick's criteria, and postoperative complications were assessed according to the Clavien-Dindo classification.
resultsThe mean age was 31.86 ± 12.02 years, and 13 patients (86.7%) were women. Symptoms of constipation and abdominal pain were present in 14 (93.3%) and 11 (73.3%), respectively. Computed tomography was performed in 8 (53.3%) patients. The mean operative time was 41 ± 6.66 min. There were no postoperative infections. One (7.8%) patient was classified as Clavien Dindo IIIb and all patients were classified as Visick 1 or 2.
conclusionMany patients with clinical and epidemiological features of functional colon disease in common in fact have an anatomic anomaly, for which the treatment of choice is laparoscopic cecopexy. New protocols should be developed to support this recommendation.
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