Endoscopic Detorsion Results in Sigmoid Volvulus: Single-Center Experience.

Necattin Firat,Baris Mantoglu,Fehmi Celebi,Ali Muhtaroglu,Kayhan Ozdemir,Emrah Akin,Altintoprak Fatih

doi:10.1155/2020/1473580

Necattin Firat, Baris Mantoglu + Show 5 more

Open Access

https://doi.org/10.1155/2020/1473580

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Journal: Emergency medicine international	Publication Date: May 13, 2020
Citations: 10	License type: CC BY 4.0

Affiliation: Sakarya University

Abstract

Endoscopic detorsion is the first-line recommended treatment modality in sigmoid volvulus patients who have no peritoneal irritation signs on admission. In this paper, we present the results of endoscopic detorsion procedures applied at the time of presentation with the diagnosis of sigmoid volvulus and review the current literature about this topic.

Highlights

Volvulus can occur in various localizations in the gastrointestinal tract, they are most frequently (65–80%) seen in the sigmoid colon because of the anatomical features that facilitate the rotation of the mesentery [1]
Endoscopic intervention opportunities and diversity have progressed rapidly in the last two decades all over the world, and many clinical conditions, which reported to be treated with surgical intervention in the past, have become intervenable without the need for surgical intervention with endoscopic methods [4]. e same is valid for sigmoid volvulus, and in case of early diagnosis when complications requiring surgical intervention are not developed, endoscopic detorsion becomes the first recommended treatment method in the presence of sigmoid volvulus [3, 5]
Volvulus patients who had volvulus detected with signs outside the sigmoid colon and who underwent surgical treatment under emergency conditions due to signs of peritoneal irritation at the time of admission were excluded from the examination. e records of the patients who were diagnosed with sigmoid volvulus after the first application to the emergency service and who had undergone endoscopic detorsion evaluated in terms of demographic data, procedure time, hospitalization time, morbidity-mortality rates, and early and late

Summary

Introduction

Volvulus can occur in various localizations in the gastrointestinal tract, they are most frequently (65–80%) seen in the sigmoid colon because of the anatomical features that facilitate the rotation of the mesentery [1]. Volvulus patients who had volvulus detected with signs outside the sigmoid colon and who underwent surgical treatment under emergency conditions due to signs of peritoneal irritation at the time of admission were excluded from the examination.

Results

Conclusion