Related Experiment Video
Updated: Feb 18, 2026
09:41
Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
1.8K
Risk of recurrence of sigmoid volvulus: a single-centre cohort study
N Johansson1,2, A Rosemar1, E Angenete1,2
1Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden.
Summary
Sigmoid volvulus often recurs after nonoperative treatment. While initial nonoperative decompression is successful, planned surgery after the second episode may improve outcomes and reduce healthcare costs.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Surgical Outcomes
Background:
- Sigmoid volvulus is characterized by high recurrence rates with conservative management.
- Optimal treatment strategies and timing for definitive surgery remain unclear.
Purpose of the Study:
- To review treatment modalities and assess outcomes for sigmoid volvulus in adult patients.
- To evaluate the efficacy of nonoperative versus surgical interventions.
Main Methods:
- Retrospective review of adult patients treated for sigmoid volvulus from 2000 to 2016.
- Analysis of treatment success, recurrence rates, and mortality following nonoperative and surgical interventions.
Main Results:
- Nonoperative decompression succeeded in 92% of initial attempts.
- Recurrence after successful nonoperative decompression was 84%, with a median of two recurrences.
- Mortality was lower with planned surgery (3.3%) compared to emergency surgery (13%).
Conclusions:
- High recurrence rates necessitate careful consideration of treatment for sigmoid volvulus.
- Nonoperative decompression may be suitable for the first episode.
- Early planned surgery after the second episode is likely to improve outcomes and reduce healthcare utilization.
Related Concept Videos
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
785
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
785
01:21Inflammatory Bowel Disease V: Surgical Management
728
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
728
01:28Esophageal Varices-II: Clinical Features and Management
626
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
626
01:26Esophageal Strictures-II: Clinical Features and Management
718
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
718
01:25Urinary Tract Calculi VI: Surgical Management
605
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
605