Volvulus of the sigmoid colon

D, Siroospour; Berardi, Romeo S.

doi:10.1007/bf02590950

Cited by 16 publications

(4 citation statements)

References 10 publications

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“…This rate was higher than the rate for patients with non-operative treatment followed by elective resection (5.2%). These results were similar to those of previous reports (16).…”

Section: Discussionsupporting

confidence: 94%

Our sigmoid colon volvulus experience and benefits of colonoscope in detortion process

Turan¹,

Şen

Karadayı³

et al. 2004

Rev. esp. enferm. dig.

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Methodology: we present our experience of 81 cases of sigmoid volvulus admitted to our department.Results: preoperative endoscopic volvulus detortion was attempted in all patients, and in 39 of them the procedure was successful. The success rate of endoscopic detortion for sigmoid colon volvulus with a flexible colonoscope (60%) was higher than with a rigid rectosigmoidoscope (42%). In 19 of these 39 nonoperatively devolvulated patients, sigmoid resection with primary anastomosis was performed within 7-10 days after reduction, but 20 patients did not accept the elective operation after a non-operative treatment. Among the 61 patients undergoing urgent or elective operation for sigmoid volvulus, there were 17 laparotomies laparatomies with only detortion, 19 resections with elective anastomosis, 6 resections with primary anastomosis, and 19 resections with a Hartmann's pouch. There were 9 deaths (21%) among 42 patients who underwent an emergency operation, and one (5.2%) among the 19 patients who had elective surgery died because of a cerebral embolus.Conclusions: initial therapy with endoscopy affords decompression and an adequate preparation of patients for surgical resection, and a flexible colonoscope has notable advantages over rigid instruments for the detortion process.

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“…This rate was higher than the rate for patients with non-operative treatment followed by elective resection (5.2%). These results were similar to those of previous reports (16).…”

Section: Discussionsupporting

confidence: 94%

Our sigmoid colon volvulus experience and benefits of colonoscope in detortion process

Turan¹,

Şen

Karadayı³

et al. 2004

Rev. esp. enferm. dig.

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“…Although the majority of patients in this series presented early, other authors have noted a delay in referral. This has been attributed to the fact that a significant number of patients have been institutionalized and the presence of colonic volvulus may not be recognized by the medical attendants [13,21]. In spite of the early presentation, 2 patients in the present series were moribund on admission with septicemia secondary to perforation of a gangrenous sigmoid colon.…”

Section: Discussionmentioning

confidence: 82%

“…Although volvulus in younger patients is being encountered with increasing frequency [9,10], the condition primarily affects the elderly population, particularly those confined to nursing homes and psychogeriatric hospitals [11,12]. This association has been well documented in previous series in which the incidence of institutionalized patients has been as high as 50-70% [13,14]. The primary predisposing factors include congenital redundancy of the sigmoid colon combined with a narrow mesenteric base, chronic constipation, a high residue diet, and acquired megacolon [15].…”

Section: Discussionmentioning

confidence: 96%

Acute volvulus of the sigmoid colon

Welch

Anderson

1987

World j. surg.

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Fifty patients presenting with acute volvulus of the sigmoid colon have been analyzed. The diagnosis was made in 39 patients from the presenting features and abdominal radiographs. Deflation by sigmoidoscopy and flatus tube was performed in 19 patients with initial success in 15. Recurrent volvulus occurred in 6 of these patients. Laparotomy was carried out in 36 patients and colonie gangrene was present in 6 patients. The operative mortality rate was 42%. Mortality was related to a combination of age, intercurrent medical illness, and sepsis. Simple operative reduction was associated with a lower mortality when compared to resection but had a higher incidence of recurrent volvulus. This study supports the use of sigmoidoscopic reduction as the primary treatment of acute sigmoid volvulus. Laparotomy and colonic resection should be reserved for those patients who are medically fit and should ideally be performed on an elective basis after preliminary decompression. In unfit patients in whom sigmoidoscopic reduction fails, detorsion and colopexy is advocated.

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“…Use of the laparoscope was unusual, despite observations that instrumental perforation is a complication in more than 1% of endoscopic decompression cases. [15][16][17][18][19] Not only could the laparoscope reduce risk of complication during the decompression phase, its presence during PEC placement (combined with the endoscope) allowed for more informed movements both inside and outside of the bowel. The primary question is therefore whether the increased frequency of laparoscopy-related complications and complications associated with general anesthesia will outweigh the reduction in complications by affording better visualization and instrument control, a question that can only be answered in a much broader study.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopy-Assisted PEC Tubes: A Novel Treatment for Sigmoid Volvulus

Simmerman

Lassiter

et al. 2017

CRSLS

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Introduction: In the United States, sigmoid volvulus is frequently seen in the elderly and neurologically impaired, driving a search for less invasive but effective treatments that may obviate the need for resection. This case study describes a novel technique for sigmoidopexy: a modified endoscopic approach for percutaneous endoscopic colostomy (PEC) tube placement in combination with laparoscopy for safety.

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Volvulus of the sigmoid colon

Abstract: A ten-year study of volvulus of the sigmoid colon is presented. Although the results of treatment of volvulus of the sigmoid colon are generally improving, the challenge for further improvement remains.

Cited by 16 publications

References 10 publications

Our sigmoid colon volvulus experience and benefits of colonoscope in detortion process

Our sigmoid colon volvulus experience and benefits of colonoscope in detortion process

Acute volvulus of the sigmoid colon

Laparoscopy-Assisted PEC Tubes: A Novel Treatment for Sigmoid Volvulus

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