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Related Experiment Videos

Sigmoid volvulus an update.

Sunil K Lal1, Ricardo Morgenstern, Elango P Vinjirayer

  • 1Division of Gastroenterology and Hepatology, Drexel University, Philadelphia, PA 19107, USA.

Gastrointestinal Endoscopy Clinics of North America
|March 21, 2006
PubMed
Summary

Sigmoid volvulus, a common cause of colon obstruction, requires management focused on relieving blockage and preventing recurrence. Special considerations are needed for pregnant individuals due to risks to mother and fetus.

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Area of Science:

  • Gastroenterology and Colorectal Surgery

Background:

  • Sigmoid volvulus is the third leading cause of large bowel obstruction in the U.S.
  • Associated etiologic factors include anatomical variations, chronic constipation, neurological disorders, and megacolon.

Purpose of the Study:

  • To outline the management of sigmoid volvulus, focusing on obstruction relief and recurrence prevention.
  • To discuss the unique challenges and risks of sigmoid volvulus during pregnancy.

Main Methods:

  • Literature review of sigmoid volvulus etiology, management, and outcomes.
  • Analysis of specific considerations for pregnant patients across trimesters.

Main Results:

  • Effective management hinges on patient selection and timely intervention.
  • Pregnancy-related sigmoid volvulus presents significant maternal and fetal risks, necessitating trimester-specific strategies.

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Conclusions:

  • Optimal outcomes for sigmoid volvulus depend on appropriate patient stratification and treatment.
  • Pregnancy complicates sigmoid volvulus management, requiring tailored approaches to mitigate risks to both mother and fetus.