Related Experiment Videos
Optimal interval from decompression to semi-elective operation in sigmoid volvulus.
Ming-Shian Tsai1, Ming-Tsan Lin, King-Jen Chang
1Department of Surgery, National Taiwan University Hospital, Taipei City, Taiwan.
Hepato-Gastroenterology
|June 27, 2006
Summary
Non-operative decompression followed by semi-elective surgery is effective for sigmoid volvulus. A two-day interval allows adequate bowel preparation and patient optimization for better surgical outcomes.
Area of Science:
- Gastroenterology
- Surgical Management
- Colorectal Surgery
Background:
- Sigmoid volvulus management often involves initial non-operative decompression followed by semi-elective surgery.
- The optimal timing for surgery after decompression remains undetermined.
Purpose of the Study:
- To evaluate the clinical outcomes of sigmoid volvulus patients treated with non-operative decompression and subsequent semi-elective surgery.
- To determine the ideal interval between decompression and operation.
Main Methods:
- Retrospective review of 25 patients with sigmoid volvulus treated at National Taiwan University Hospital from 1994 to 2004.
- Analysis of treatment strategies and clinical outcomes.
Main Results:
- 21 patients had successful initial non-operative decompression; 4 required emergent surgery.
- Colon gangrene occurred in 3 patients, all resulting in death from medical complications.
- Semi-elective surgery had one leakage but no mortality. Postoperative complication rates were similar for intervals of 2 days versus >2 days.
Conclusions:
- Non-operative decompression followed by semi-elective surgery yields satisfactory outcomes for sigmoid volvulus.
- A two-day interval post-decompression appears sufficient for surgical preparation and patient optimization.