Percutaneous endoscopic sigmoidopexy for sigmoid volvulus: A case report

Area of Science:

• Gastroenterology
• Surgical Innovation

Background:

• Recurrent sigmoid volvulus poses a significant challenge, particularly in elderly and high-risk individuals.
• Preventive surgery in these cases remains controversial due to associated risks.

Purpose of the Study:

• To report a novel minimally invasive technique for managing recurrent sigmoid volvulus.
• To evaluate the feasibility of percutaneous endoscopic sigmoidopexy with abdominal wall fixation in a high-risk patient.

Main Methods:

• A percutaneous endoscopic sigmoidopexy was performed, utilizing fixation of the sigmoid colon to the abdominal wall.
• The fixation sutures were designed to be buried subcutaneously, eliminating the need for removal.

Main Results:

• The procedure was successfully completed in an 86-year-old female patient with multiple comorbidities.
• This represents the first reported case of percutaneous endoscopic sigmoidopexy using abdominal wall fixation with buried sutures.

Conclusions:

• Percutaneous endoscopic sigmoidopexy with abdominal wall fixation is a potentially viable treatment for recurrent sigmoid volvulus in high-risk patients.
• The technique's advantage includes the elimination of suture removal, simplifying post-operative care.