Our sigmoid colon volvulus experience and benefits of colonoscope in detortion process
| Autor: | Mustafa Turan, C. Yildirir, Ayhan Koyuncu, Kursat Karadayi, Mustafa Duman, Metin Şen, Omer Topcu |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Decompression Volvulus Anastomosis Sigmoid colon volvulus Postoperative Complications Colon Sigmoid medicine Humans lcsh:RC799-869 Elective surgery Sigmoid colon Aged Aged 80 and over Sigmoid Diseases medicine.diagnostic_test business.industry General surgery Gastroenterology Colonoscopy General Medicine Middle Aged Decompression Surgical medicine.disease digestive system diseases Surgery Endoscopy Detortion Treatment Outcome medicine.anatomical_structure Female lcsh:Diseases of the digestive system. Gastroenterology Emergencies Pouch business Intestinal Volvulus |
| Zdroj: | Revista Española de Enfermedades Digestivas v.96 n.1 2004 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname Revista Española de Enfermedades Digestivas, Volume: 96, Issue: 1, Pages: 32-35, Published: JAN 2004 Revista Espanola de Enfermedades Digestivas, Vol 96, Iss 1, Pp 32-35 (2004) |
| ISSN: | 1130-0108 |
| DOI: | 10.4321/s1130-01082004000100005 |
| Popis: | Background/aims: the sigmoid colon is the most frequent site for a volvulus. In this report, we review our experience with sigmoid colon volvulus. Methodology: we present our experience of 81 cases of sigmoid volvulus admitted to our department. Results: preoperative endoscopic volvulus detortion was attempted in all patients, and in 39 of them the procedure was successful. The success rate of endoscopic detortion for sigmoid colon volvulus with a flexible colonoscope (60%) was higher than with a rigid rectosigmoidoscope (42%). In 19 of these 39 non-operatively devolvulated patients, sigmoid resection with primary anastomosis was performed within 7-10 days after reduction, but 20 patients did not accept the elective operation after a non-operative treatment. Among the 61 patients undergoing urgent or elective operation for sigmoid volvulus, there were 17 laparotomies laparatomies with only detortion, 19 resections with elective anastomosis, 6 resections with primary anastomosis, and 19 resections with a Hartmann’s pouch. There were 9 deaths (21%) among 42 patients who underwent an emergency operation, and one (5.2%) among the 19 patients who had elective surgery died because of a cerebral embolus. Conclusions: initial therapy with endoscopy affords decompression and an adequate preparation of patients for surgical resection, and a flexible colonoscope has notable advantages over rigid instruments for the detortion process. |
| Databáze: | OpenAIRE |
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