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[Rectoromanoscopic correction of sigmoid volvulus]
Summary
Sigmoid volvulus, a common cause of colonic ileus, can be successfully treated non-surgically. Rectosigmoidal intubation offers a life-saving option for elderly patients, avoiding risky emergency surgery.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Context:
- Sigmoid volvulus accounts for 40% of colonic ileus cases.
- It predominantly affects older men, occurring three times more frequently than in women.
Purpose:
- To evaluate the efficacy of instrumental treatment for sigmoid volvulus.
- To present rectosigmoidal intubation as a non-surgical alternative.
Summary:
- An instrumental method, rectosigmoidal intubation under rectoscopic control, has been used since 1985.
- This technique successfully reversed volvulus in 15 patients, alleviating severe ileus.
- The procedure is suitable for patients without acute abdominal conditions requiring immediate surgery.
Impact:
- Instrumental treatment prevents surgical interventions in unfavorable conditions.
- This method can be life-saving for elderly patients with sigmoid volvulus.