Endoscopic Decompression, Detorsion, and Reduction of Sigmoid Volvulus

Endoscopic detorsion for sigmoid volvulus using unsedated water-immersion colonoscopy.

We report a simple method of endoscopic detorsion for sigmoid volvulus using unsedated water-immersion colonoscopy, which we currently use in the majority of our cases. Importantly, volvulus detorsion with a colonoscope should be attempted only in patients with an absence of necrotic findings. Endoscopic detorsion is performed without fluoroscopic guidance. A cap or hood attached to the tip of ...

Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion

BACKGROUND/AIMS Although multiple treatment options exist for the management of sigmoid colon volvulus, no study has examined the factors associated with successful endoscopic detorsion. This study aimed to examine the clinical course of patients with sigmoid colon volvulus and to identify factors related to successful endoscopic detorsion. METHODS This study included 30 cases (21 patients) o...

Determination of patients requiring elective surgery following successful endoscopic detorsion in sigmoid volvulus

Sigmoid volvulus (SV) is an unusual type of colonic obstruction, in which the sigmoid colon wraps around itself. As a rule, SV is decompressed via endoscopy in uncomplicated cases, while surgery is required in complicated cases. However, the recurrence rate following endoscopic detorsion is relatively high, with a relatively high mortality rate. Consequently, as a prophylactic procedure to prev...

Elective surgery after successful endoscopic decompression of sigmoid volvulus may be considered.

INTRODUCTION Volvulus is an axial twist of any part of the gastrointestinal tract along its mesentery. If it goes unattended, it will cause bowel obstruction and bowel ischaemia with gangrene and perforation. The primary treatment is endoscopic desufflation, but the place for elective surgery is controversial. Volvulus is a rare condition in Western Europe and North America that most often affe...

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