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Related Experiment Videos

Sigmoid volvulus: a 10-year-audit.

S Connolly1, A E Brannigan, E Heffeman

  • 1Centre for Colorectal Disease, St Vincent's University Hospital, Dublin, Ireland.

Irish Journal of Medical Science
|March 22, 2003
PubMed
Summary
This summary is machine-generated.

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Sigmoid volvulus in elderly patients often requires surgery due to high recurrence after endoscopic deflation. This review encourages more aggressive primary treatment for this condition.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Geriatric Medicine

Background:

  • Chronic constipation in elderly, institutionalized patients is a leading cause of sigmoid volvulus.
  • Endoscopic deflation of sigmoid volvulus has a high recurrence rate (90%) and mortality rate (35%).

Purpose of the Study:

  • To review a 10-year experience with sigmoid volvulus.
  • To advocate for more aggressive primary treatment strategies for sigmoid volvulus.

Main Methods:

  • Retrospective study of 16 patients with sigmoid volvulus (1992-1999).
  • Data collected via hospital inpatient enquiry (HIPE) system.
  • Analysis of demographics, clinical course, interventions, complications, and outcomes.

Main Results:

Related Experiment Videos

  • Mean age of patients was 78 years; 50% had risk factors like Parkinson's disease or hypokalemia.
  • 63% of patients required surgical intervention, with sigmoid colectomy being the most common procedure (45%).
  • One post-operative death occurred; mean admission duration was 21 days.

Conclusions:

  • Endoscopic deflation can optimize cardiopulmonary comorbidities in high-risk patients.
  • Endoscopic deflation converts emergent to elective procedures, minimizing operative morbidity.
  • The study suggests a need for more aggressive primary treatment for sigmoid volvulus.