Management of Sigmoid Volvulus: A Literature Review

Author:

Atamanalp Sabri Selcuk1ORCID,Disci Esra1,Peksoz Rifat1,Atamanalp Refik Selim2,Tatar Atamanalp Cansu3

Affiliation:

1. Department of General Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey

2. Department of Medical Pathology, Prof. Dr. Cemil Taşçıoğlu City Hospital, İstanbul, Turkey

3. Department of Pediatrics, Haseki Education and Research Hospital, İstanbul, Turkey

Abstract

AbstractSigmoid volvulus (SV) is a rare form of intestinal obstruction in which the sigmoid colon twists around its own base. Endoscopic detorsion is the primary treatment in uncomplicated patients, while urgent surgery is required in the cases with bowel perforation, peritonitis, and unsuccessful endoscopic detorsion. In surgery, the gangrenous sigmoid colon is managed by resection, whereas sigmoid detorsion alone or with an additional recurrence-reducing procedure is applied in patients with viable bowel. However, the risk of recurrence following endoscopic or operative detorsion alone is as high as 90% with a risk of mortality up to 35%. To prevent or reduce SV recurrence, some selected cases require emergent or elective recurrence-preventive management including sigmoidopexy, mesopexy, mesoplasty, extraperitonealization, sigmoidectomy, and endoscopic percutaneous sigmoidopexy. However, the indications, techniques, and results of the above-mentioned procedures are controversial. In this review, the treatment options of SV and patient selection criteria for recurrence-preventive treatments are discussed.

Publisher

Georg Thieme Verlag KG

Subject

Computer Science Applications,History,Education

Reference60 articles.

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