Sigmoid volvulus: An update for Atamanalp classification

Area of Science:

• Gastroenterology
• Colorectal Surgery

Background:

• Sigmoid volvulus (SV) is a rare cause of colonic obstruction, often requiring emergency intervention with a poor prognosis.
• Existing classification systems for SV have limitations in guiding clinical decision-making and predicting outcomes.

Purpose of the Study:

• To update the current classification system for sigmoid volvulus.
• To enhance clinical decision-making and prognosis estimation for SV based on extensive patient data.

Main Methods:

• Retrospective analysis of 1,028 sigmoid volvulus patients treated at a single center.
• Evaluation and refinement of the 2017 SV classification system.

Main Results:

• The study presents an updated classification for sigmoid volvulus.
• The updated system aims to improve the management and prognostic accuracy for SV patients.

Conclusions:

• The updated sigmoid volvulus classification system, validated by the largest single-center series, offers improved guidance for patient management.
• This refined classification is crucial for optimizing treatment strategies and predicting outcomes in sigmoid volvulus cases.