Cargando…

Factors affecting recurrence in sigmoid volvulus

OBJECTIVES: Recurrence is a relatively common outcome following endoscopic decompression in sigmoid volvulus (SV). This study aims to evaluate the factors affecting recurrence in SV. METHODS: In 434 patients with SV treated between June 1986 and January 2022, probable recurrence-affecting factors in...

Descripción completa

Detalles Bibliográficos
Autores principales: Korkut, Ercan, Peksoz, Rifat, Disci, Esra, Atamanalp, Sabri Selcuk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9842996/
https://www.ncbi.nlm.nih.gov/pubmed/36694777
http://dx.doi.org/10.12669/pjms.39.1.6882
_version_ 1784870280906145792
author Korkut, Ercan
Peksoz, Rifat
Disci, Esra
Atamanalp, Sabri Selcuk
author_facet Korkut, Ercan
Peksoz, Rifat
Disci, Esra
Atamanalp, Sabri Selcuk
author_sort Korkut, Ercan
collection PubMed
description OBJECTIVES: Recurrence is a relatively common outcome following endoscopic decompression in sigmoid volvulus (SV). This study aims to evaluate the factors affecting recurrence in SV. METHODS: In 434 patients with SV treated between June 1986 and January 2022, probable recurrence-affecting factors including age, age of SV onset, gender, dietary habit, defecation habit, altitude of living area, and SV attack count were analyzed in prospectively collected data. RESULTS: Of 434 patients, 111 (25.6%) had recurrent SV with mean 1.6 ± 2.3 of volvulus episodes (range: 1-21 attacks). SV recurrence demonstrated a significant linear increase with age (14.3%, 17.1%, 21.5%, and 29.9%, respectively, in young, middle aged, mature, and elderly patients, p < 0.001). Recurrent SV was also significantly higher in male gender (28.5% vs 12.7%, p = 0.004), high-fiber diet habit (32.9% vs 17.7%, p < 0.001), and living at high altitude (26.9% vs 12.5%, p = 0.047). Although SV recurrence was higher in patients with chronic constipation, the difference was not significant (36.7% vs. 20.3%, p = 0.594). When compared with that of the patients with mature onset or elderly onset patients, SV attack count was significantly higher in young-onset cases (1.3 ± 0.9 and 1.1 ± 0.3 vs 4.6 ± 6.9, p < 0.001). CONCLUSION: Elderliness, early-onset, maleness, high-fiber diet habit, high altitude, and most likely chronic constipation may be the practical clinical parameters of recurrent SV. These parameters, as well as the presence of previous SV episode history, must be considered in the decision-making process in the elective treatment of SV.
format Online
Article
Text
id pubmed-9842996
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Professional Medical Publications
record_format MEDLINE/PubMed
spelling pubmed-98429962023-01-23 Factors affecting recurrence in sigmoid volvulus Korkut, Ercan Peksoz, Rifat Disci, Esra Atamanalp, Sabri Selcuk Pak J Med Sci Original Article OBJECTIVES: Recurrence is a relatively common outcome following endoscopic decompression in sigmoid volvulus (SV). This study aims to evaluate the factors affecting recurrence in SV. METHODS: In 434 patients with SV treated between June 1986 and January 2022, probable recurrence-affecting factors including age, age of SV onset, gender, dietary habit, defecation habit, altitude of living area, and SV attack count were analyzed in prospectively collected data. RESULTS: Of 434 patients, 111 (25.6%) had recurrent SV with mean 1.6 ± 2.3 of volvulus episodes (range: 1-21 attacks). SV recurrence demonstrated a significant linear increase with age (14.3%, 17.1%, 21.5%, and 29.9%, respectively, in young, middle aged, mature, and elderly patients, p < 0.001). Recurrent SV was also significantly higher in male gender (28.5% vs 12.7%, p = 0.004), high-fiber diet habit (32.9% vs 17.7%, p < 0.001), and living at high altitude (26.9% vs 12.5%, p = 0.047). Although SV recurrence was higher in patients with chronic constipation, the difference was not significant (36.7% vs. 20.3%, p = 0.594). When compared with that of the patients with mature onset or elderly onset patients, SV attack count was significantly higher in young-onset cases (1.3 ± 0.9 and 1.1 ± 0.3 vs 4.6 ± 6.9, p < 0.001). CONCLUSION: Elderliness, early-onset, maleness, high-fiber diet habit, high altitude, and most likely chronic constipation may be the practical clinical parameters of recurrent SV. These parameters, as well as the presence of previous SV episode history, must be considered in the decision-making process in the elective treatment of SV. Professional Medical Publications 2023 /pmc/articles/PMC9842996/ /pubmed/36694777 http://dx.doi.org/10.12669/pjms.39.1.6882 Text en Copyright: © Pakistan Journal of Medical Sciences https://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 (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Korkut, Ercan
Peksoz, Rifat
Disci, Esra
Atamanalp, Sabri Selcuk
Factors affecting recurrence in sigmoid volvulus
title Factors affecting recurrence in sigmoid volvulus
title_full Factors affecting recurrence in sigmoid volvulus
title_fullStr Factors affecting recurrence in sigmoid volvulus
title_full_unstemmed Factors affecting recurrence in sigmoid volvulus
title_short Factors affecting recurrence in sigmoid volvulus
title_sort factors affecting recurrence in sigmoid volvulus
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9842996/
https://www.ncbi.nlm.nih.gov/pubmed/36694777
http://dx.doi.org/10.12669/pjms.39.1.6882
work_keys_str_mv AT korkutercan factorsaffectingrecurrenceinsigmoidvolvulus
AT peksozrifat factorsaffectingrecurrenceinsigmoidvolvulus
AT disciesra factorsaffectingrecurrenceinsigmoidvolvulus
AT atamanalpsabriselcuk factorsaffectingrecurrenceinsigmoidvolvulus