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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Professional Medical Publications
2023
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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 |
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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 |
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