Sigmoid volvulus: the first one thousand-case single center series in the world

Sigmoid volvulus: effects of high altitude

“…Eastern Anatolia, which is the highest region of Turkey with a mean altitude of 6000 feet, is also an endemic area for SV . Our clinic has approximately 52 years of history and 1008 cases of experience with SV, which is the largest single‐centre SV series in the world .…”

Comments on a new classification, treatment algorithm and prognosis‐estimating system for sigmoid volvulus: the role of percutaneous endoscopic colostomy

“…Based on these observations I would suggest that the use of an endoscopic and minimally invasive procedure, PEC, in young and reasonably fit SV patients should be evaluated in prospective and controlled studies. Clearly such studies would have to be either multi‐centre or from high‐incidence areas as described by Atamanalp .…”

Comments on ‘Emergency Management of Sigmoid Colon Volvulus in a Volvulus Belt Population and a Review of Literature’

“…My colleagues and I have approximately 51 years of history and 1000 cases of experience with SV, which is the largest published single-center SV series in the world according to the literature in major research databases including Web of Science and PubMed [2]. In our series, non-operative detorsion was used in 723 patients with 82.4% of success, 0.7% of mortality, and 5.0% of morbidity rates.…”

“…Following an early and effective resuscitation, endoscopic detorsion is used in uncomplicated and nongangrenous cases, while emergency surgery is needed in complicated and gangrenous patients, or in patients in whom endoscopy is unsuccessful. Additionally, elective surgery is recommended in some selected patients with successful endoscopic detorsion [2,3]. Secondly, although flexible endoscopy is frequently preferred by the endoscopists and better tolerated by the patients, in the non-operative treatment of SV, rigid endoscopy is also a successful procedure with a mean success rate of 70-80%, in addition to its easily accessibility and inexpensiveness [2].…”

“…Additionally, elective surgery is recommended in some selected patients with successful endoscopic detorsion [2,3]. Secondly, although flexible endoscopy is frequently preferred by the endoscopists and better tolerated by the patients, in the non-operative treatment of SV, rigid endoscopy is also a successful procedure with a mean success rate of 70-80%, in addition to its easily accessibility and inexpensiveness [2]. Finally, although the unwillingness of some patients for elective surgery is a reality, it is well known that the mortality and morbidity rates of the elective sigmoid resection and anastomosis are less than that of the emergency procedures [3].…”