Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Sigmoid volvulus. A four-decade experience.

E C Mangiante1, M A Croce, T C Fabian

  • 1Department of Surgery, University of Tennessee, Memphis 38163.

The American Surgeon
|January 1, 1989
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Ventilator associated pneumonia caused by <i>Raoultella ornithinolytica</i> in two immunocompetent trauma patients.

Respiratory medicine case reports·2018
Same author

Damage control strategies in the management of acute injury.

European journal of trauma and emergency surgery : official publication of the European Trauma Society·2016
Same author

Cell-matrix interactions in cultured dermal fibroblasts from patients with an inherited connective-tissue disorder.

Cytotechnology·2012
Same author

Defining present blood component transfusion practices in trauma patients: papers from the Trauma Outcomes Group.

The Journal of trauma·2011
Same author

Increased platelet:RBC ratios are associated with improved survival after massive transfusion.

The Journal of trauma·2011
Same author

High ratios of plasma and platelets to packed red blood cells do not affect mortality in nonmassively transfused patients.

The Journal of trauma·2011
Same journal

Complete Response of Merkel Cell Carcinoma to Immunotherapy and Single-Fraction Radiotherapy Following Severe COVID-19 Infection: A Case Report and Review of Immune Mechanism.

The American surgeon·2026
Same journal

Perioperative Acute Myocardial Infarction in Non-Cardiac Operations: A National Analysis.

The American surgeon·2026
Same journal

Outcomes of Completion Cholecystectomy: Association With Patient Comorbidity in a National Database.

The American surgeon·2026
Same journal

Building the Conversation: Editorial Stewardship in Contemporary Surgical Publishing.

The American surgeon·2026
Same journal

Musculoskeletal Pain in Surgeons on Operating Days.

The American surgeon·2026
Same journal

Splenectomy During Cytoreductive Surgery: Marker of Surgical Burden or Independent Predictor of Morbidity?

The American surgeon·2026
See all related articles

Nonoperative reduction is a safe and effective initial treatment for sigmoid volvulus, with no associated mortality. This approach, often diagnosed via abdominal radiography, should be prioritized over surgery unless complications arise.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Abdominal Surgery

Background:

  • Sigmoid volvulus management has evolved over four decades.
  • Historically, operative decompression was the primary treatment for sigmoid volvulus.

Observation:

  • A shift towards nonoperative sigmoidoscopic reduction occurred between 1945-1984.
  • Nonoperative reduction achieved a 95% success rate in recent years.
  • Gangrenous bowel presented a 60% mortality risk.

Findings:

  • Nonoperative reduction had zero mortality, contrasting with 10% for operative reduction.
  • Neuropsychiatric diseases were linked to 71% of recent sigmoid volvulus cases.
  • Diagnosis on initial abdominal radiographs was successful in 60% of cases.

Related Experiment Videos

Implications:

  • Nonoperative reduction should be the initial management for sigmoid volvulus.
  • Operative reduction is reserved for refractory cases or ischemic bowel.
  • Elective resection during the same hospitalization post-reduction is safe and effective.