Endoscopic management of sigmoid volvulus

Česká verzia

Authors: I. Mikoviny Kajzrlíková ¹; P. Vítek ^1,2; M. Chrostek ³
Authors place of work: Beskydské gastrocentrum, Interní oddělení, Nemocnice ve Frýdku-Místku, p. o. ¹; Lékařská fakulta OU v Ostravě ²; Chirurgicko-traumatologické oddělení, Nemocnice ve Frýdku-Místku, p. o. ³
Published in the journal: Gastroent Hepatol 2016; 70(3): 217-219
Category: Digestivní endoskopie: kazuistika
doi: https://doi.org/10.14735/amgh2016217

Summary

We present a case report of a 37-year-old woman who was admitted for abdominal pain and nausea. Imaging showed the presence of a sigmoid volvulus, which was successfully treated by endoscopic reduction and insertion of a decompression tube. The mucosa of affected sigmoid colon showed no signs of bowel ischemia. Endoscopic reduction was followed by surgical resection of a 70 cm long section of the dolichosigmoid colon to prevent recurrence. Sigmoid volvulus is a relatively uncommon cause of intestinal obstruction in Western countries. It usually occurs in older patients with a history of chronic obstipation. Other risk factors are a long sigmoid colon and colonic dismotility. In patients who do not have clinical features suggestive of gangrene, sepsis, or perforation, endoscopic management is the preferred method and has a success rate 75–95%. The majority of authors recommend subsequent surgical resection because sigmoid volvulus reoccurs in 60% of patients not treated by surgery.

Key words:
intestinal volvulus – ileus – endoscopy – colorectal surgery

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
31. 3. 2016

Accepted:
18. 5. 2016

Zdroje

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