What is the primary treatment for midgut volvulus?

• A. Air enema
• B. Surgery
• C. Sigmoidoscopic detorsion
• D. Gastrografin enema

Answer: (C)

The primary treatment for midgut volvulus is surgery. In cases of midgut volvulus, which often arises from an underlying condition such as malrotation in neonates, surgery is necessary to untwist the affected portions of the intestine and to assess for any necrosis that may have resulted from the compromised blood supply. Surgical intervention also typically includes procedures to correct the underlying malrotation to prevent recurrence.

While techniques like an air enema or a Gastrografin (contrast) enema may be utilized in specific scenarios as diagnostic or therapeutic measures for other types of bowel obstructions or intussusception, they are not considered standard treatment for midgut volvulus. A sigmoidoscopic detorsion is more relevant to sigmoid volvulus instead of midgut issues. Therefore, when dealing with midgut volvulus, immediate surgical intervention is essential to ensure the viability of the bowel and to manage any potential complications.