*Digestive Disorders in Chagas Disease: Megaesophagus and Chagasic Megacolon DOI: http://dx.doi.org/10.5772/intechopen.102871*

serious complication is volvulus, which occurs when a redundant loop of the colon rotates around the mesentery, which, in turn, causes a closed-loop intestinal obstruction that generates ischemia due to hypoperfusion of the affected segment, where there is an accumulation of gas associated with fermentation of intestinal contents. When this happens, the tension of the wall increases, which worsens the ischemia and promotes perforation of the intestine, which could lead to the death of the patient [34].

The treatment of volvulus is based on the control of symptoms and resuscitation of the patient and then decompression and derotation of the intestine by endoscopy if there is no evidence of peritonitis or perforation, since, if it occurs, the treatment is invariably urgent surgical [34].
