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Related Experiment Videos

Minimizing recurrence after sigmoid volvulus.

Y F Chung1, K W Eu, D C Nyam

  • 1Department of Colorectal Surgery, Singapore General Hospital, Singapore.

The British Journal of Surgery
|April 1, 1999
PubMed
Summary

Sigmoid volvulus recurrence is high in patients refusing surgery after endoscopic decompression. Subtotal colectomy, especially with megacolon or megarectum, may reduce recurrence risk.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Sigmoid volvulus is a common cause of large bowel obstruction.
  • Identifying risk factors for recurrence and optimal treatment is crucial.

Purpose of the Study:

  • To identify risk factors for sigmoid volvulus recurrence.
  • To recommend appropriate treatment strategies for sigmoid volvulus.

Main Methods:

  • Retrospective review of 35 patients with sigmoid volvulus over 8 years.
  • Analysis of treatment outcomes including endoscopic decompression and surgical interventions.
  • Identification of predictors for recurrent sigmoid volvulus.

Main Results:

  • Endoscopic decompression was successful in 28 patients, but 12 of 14 who refused surgery experienced recurrence.

Related Experiment Videos

  • Sigmoid colectomy was performed in 27 patients, with 6 experiencing recurrence.
  • Concomitant megacolon and megarectum were significant predictors of recurrence.

    • Conclusions:

    • Refusal of surgery after endoscopic decompression is associated with high recurrence rates.
    • Subtotal colectomy may be a preferred primary procedure in patients with concomitant megacolon or megarectum to reduce recurrence risk.