What is done when endoscopic examination reveals borderline bowel ischemia in patients with sigmoid volvulus?

Abstract:

:Sigmoid volvulus (SV) is a rare colonic obstruction in which the sigmoid colonwraps around itself. The principal strategy for the treatment of uncomplicated SV is emergency endoscopic detorsion, while emergency surgery is needed in complicated SV with bowel gangrene, bowel perforation, peritonitis, or unsuccessful endoscopic treatment. In the endoscopic examination of SV, endoscopic detorsion is performed if the bowels are viable, while emergency surgery is needed if the bowels are gangrenous. However, the treatment approach is not clear when endoscopic examination reveals borderline bowel ischemia, and in this short report, the possible treatment strategies are discussed.

journal_name

Pak J Med Sci

authors

Atamanalp SS,Atamanalp RS

doi

10.12669/pjms.333.12265

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

761-763

issue

3

eissn

1682-024X

issn

1681-715X

pii

PJMS-33-761

journal_volume

33

pub_type

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