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

Sabri Selcuk Atamanalp, Refik Selim Atamanalp

Abstract


Sigmoid volvulus (SV) is a rare colonic obstruction in which the sigmoid colon wraps 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.

doi: https://doi.org/10.12669/pjms.333.12265

How to cite this:Atamanalp SS, Atamanalp RS. What is done when endoscopic examination reveals borderline bowel ischemia in patients with sigmoid volvulus?. Pak J Med Sci. 2017;33(3):761-763.   doi: https://doi.org/10.12669/pjms.333.12265

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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