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Published on: July 12, 2018
[Colonoscopic restoration for sigmoid vovulus in the elderly]
Zheng Lou1, En-da Yu, Rong-gui Meng
1Department of Colorectal Surgery, The Second Military Medical University, Changhai Hospital, Shanghai, China.
Summary
Emergency colonoscopic restoration is a safe and effective first-line treatment for elderly patients with sigmoid volvulus. This approach avoids emergent surgery and can be repeated if necessary.
Area of Science:
- Gastroenterology
- Geriatric Medicine
- Surgical Gastroenterology
Background:
- Sigmoid volvulus is a common cause of large bowel obstruction, particularly in the elderly.
- Delayed or inadequate treatment can lead to significant morbidity and mortality.
Purpose of the Study:
- To evaluate the efficacy and safety of emergency colonoscopic restoration as a primary therapeutic strategy for sigmoid volvulus in elderly patients.
Main Methods:
- Retrospective analysis of clinical data from 14 elderly patients diagnosed with sigmoid volvulus.
- All patients underwent emergency decompression and restoration via colonoscopy.
Main Results:
- Successful colonoscopic restoration was achieved in 100% of patients, with a mean age of 79.1 years.
- No patients required emergent surgery, and recurrence in four patients was managed successfully with repeat colonoscopic procedures.
Conclusions:
- Emergency colonoscopic restoration is a safe, effective, and repeatable first-line treatment for sigmoid volvulus in the elderly.
- This minimally invasive approach obviates the need for immediate surgical intervention in most cases.
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