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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 relative...

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Detalles Bibliográficos
Autores principales: Atamanalp, Sabri Selcuk, Atamanalp, Refik Selim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5768858/
https://www.ncbi.nlm.nih.gov/pubmed/29492092
http://dx.doi.org/10.12669/pjms.336.13921
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author Atamanalp, Sabri Selcuk
Atamanalp, Refik Selim
author_facet Atamanalp, Sabri Selcuk
Atamanalp, Refik Selim
author_sort Atamanalp, Sabri Selcuk
collection PubMed
description 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 prevent recurrence, elective surgery is suggested in some patients. Nevertheless, the selection criteria are open to questioning. In this report, we evaluate those criteria based on the broad experience of our clinic, and suggest elective surgery in patients in ASA classes I-III.
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spelling pubmed-57688582018-02-28 Determination of patients requiring elective surgery following successful endoscopic detorsion in sigmoid volvulus Atamanalp, Sabri Selcuk Atamanalp, Refik Selim Pak J Med Sci Short Communication 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 prevent recurrence, elective surgery is suggested in some patients. Nevertheless, the selection criteria are open to questioning. In this report, we evaluate those criteria based on the broad experience of our clinic, and suggest elective surgery in patients in ASA classes I-III. Professional Medical Publications 2017 /pmc/articles/PMC5768858/ /pubmed/29492092 http://dx.doi.org/10.12669/pjms.336.13921 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Short Communication
Atamanalp, Sabri Selcuk
Atamanalp, Refik Selim
Determination of patients requiring elective surgery following successful endoscopic detorsion in sigmoid volvulus
title Determination of patients requiring elective surgery following successful endoscopic detorsion in sigmoid volvulus
title_full Determination of patients requiring elective surgery following successful endoscopic detorsion in sigmoid volvulus
title_fullStr Determination of patients requiring elective surgery following successful endoscopic detorsion in sigmoid volvulus
title_full_unstemmed Determination of patients requiring elective surgery following successful endoscopic detorsion in sigmoid volvulus
title_short Determination of patients requiring elective surgery following successful endoscopic detorsion in sigmoid volvulus
title_sort determination of patients requiring elective surgery following successful endoscopic detorsion in sigmoid volvulus
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5768858/
https://www.ncbi.nlm.nih.gov/pubmed/29492092
http://dx.doi.org/10.12669/pjms.336.13921
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