Cargando…
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...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Association for the Study of Intestinal Diseases
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5430014/ https://www.ncbi.nlm.nih.gov/pubmed/28522952 http://dx.doi.org/10.5217/ir.2017.15.2.215 |
_version_ | 1783236142561230848 |
---|---|
author | Iida, Tomoya Nakagaki, Suguru Satoh, Shuji Shimizu, Haruo Kaneto, Hiroyuki Nakase, Hiroshi |
author_facet | Iida, Tomoya Nakagaki, Suguru Satoh, Shuji Shimizu, Haruo Kaneto, Hiroyuki Nakase, Hiroshi |
author_sort | Iida, Tomoya |
collection | PubMed |
description | 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) of sigmoid volvulus from among 545 cases of intestinal obstruction at a single center. We retrospectively examined the clinical course and the factors associated with the possibility of endoscopic detorsion of sigmoid colon volvulus. RESULTS: The rate of laxative use among the study participants was 76.2%; the rate of comorbid neuropsychiatric disorders was 61.9%; and 57.1% of patients had a history of open abdominal surgery. All patients were initially treated with endoscopic detorsion, and this procedure had a 61.9% success rate. The recurrence rate after detorsion was as high as 46.2%, but detorsion during revision endoscopy was possible in all cases. Statistical analysis revealed that the absence of abdominal tenderness (P=0.027), the use of laxatives (P=0.027), and a history of open abdominal surgery (P=0.032) were factors predictive of successful endoscopic detorsion. CONCLUSIONS: The results of our study are consistent with previous reports with respect to the success rate of endoscopic detorsion, the subsequent recurrence rate, and the proportion of patients requiring surgical treatment. In addition, we identified the absence of abdominal tenderness, the use of laxatives, and history of open abdominal surgery as factors predicting successful endoscopic detorsion of sigmoid colon volvulus. |
format | Online Article Text |
id | pubmed-5430014 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Korean Association for the Study of Intestinal Diseases |
record_format | MEDLINE/PubMed |
spelling | pubmed-54300142017-05-18 Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion Iida, Tomoya Nakagaki, Suguru Satoh, Shuji Shimizu, Haruo Kaneto, Hiroyuki Nakase, Hiroshi Intest Res Original Article 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) of sigmoid volvulus from among 545 cases of intestinal obstruction at a single center. We retrospectively examined the clinical course and the factors associated with the possibility of endoscopic detorsion of sigmoid colon volvulus. RESULTS: The rate of laxative use among the study participants was 76.2%; the rate of comorbid neuropsychiatric disorders was 61.9%; and 57.1% of patients had a history of open abdominal surgery. All patients were initially treated with endoscopic detorsion, and this procedure had a 61.9% success rate. The recurrence rate after detorsion was as high as 46.2%, but detorsion during revision endoscopy was possible in all cases. Statistical analysis revealed that the absence of abdominal tenderness (P=0.027), the use of laxatives (P=0.027), and a history of open abdominal surgery (P=0.032) were factors predictive of successful endoscopic detorsion. CONCLUSIONS: The results of our study are consistent with previous reports with respect to the success rate of endoscopic detorsion, the subsequent recurrence rate, and the proportion of patients requiring surgical treatment. In addition, we identified the absence of abdominal tenderness, the use of laxatives, and history of open abdominal surgery as factors predicting successful endoscopic detorsion of sigmoid colon volvulus. Korean Association for the Study of Intestinal Diseases 2017-04 2017-04-27 /pmc/articles/PMC5430014/ /pubmed/28522952 http://dx.doi.org/10.5217/ir.2017.15.2.215 Text en © Copyright 2017. Korean Association for the Study of Intestinal Diseases. http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Iida, Tomoya Nakagaki, Suguru Satoh, Shuji Shimizu, Haruo Kaneto, Hiroyuki Nakase, Hiroshi Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion |
title | Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion |
title_full | Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion |
title_fullStr | Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion |
title_full_unstemmed | Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion |
title_short | Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion |
title_sort | clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5430014/ https://www.ncbi.nlm.nih.gov/pubmed/28522952 http://dx.doi.org/10.5217/ir.2017.15.2.215 |
work_keys_str_mv | AT iidatomoya clinicaloutcomesofsigmoidcolonvolvulusidentificationofthefactorsassociatedwithsuccessfulendoscopicdetorsion AT nakagakisuguru clinicaloutcomesofsigmoidcolonvolvulusidentificationofthefactorsassociatedwithsuccessfulendoscopicdetorsion AT satohshuji clinicaloutcomesofsigmoidcolonvolvulusidentificationofthefactorsassociatedwithsuccessfulendoscopicdetorsion AT shimizuharuo clinicaloutcomesofsigmoidcolonvolvulusidentificationofthefactorsassociatedwithsuccessfulendoscopicdetorsion AT kanetohiroyuki clinicaloutcomesofsigmoidcolonvolvulusidentificationofthefactorsassociatedwithsuccessfulendoscopicdetorsion AT nakasehiroshi clinicaloutcomesofsigmoidcolonvolvulusidentificationofthefactorsassociatedwithsuccessfulendoscopicdetorsion |