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Related Experiment Video

Updated: Nov 7, 2025

Deficient Pms2, ERCC1, Ku86, CcOI in Field Defects During Progression to Colon Cancer
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Black colon.

Moiz Ahmed1, Nirali Sheth1, Raghav Bansal1

  • 1NYC Health and Hospitals Elmhurst Elmhurst NY USA.

Clinical Case Reports
|May 3, 2021
PubMed
Summary
This summary is machine-generated.

Early endoscopic evaluation helps assess mucosal viability in sigmoid volvulus patients. Black-brown mucosa indicates gangrene, necessitating surgical intervention for this life-threatening condition.

Keywords:
endoscopic evaluationsigmoid gangrenesigmoid volvulus

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Area of Science:

  • Gastroenterology
  • Surgical Endoscopy

Background:

  • Sigmoid volvulus is a common cause of large bowel obstruction.
  • Timely diagnosis and management are crucial to prevent complications.

Purpose of the Study:

  • To evaluate the utility of early endoscopic assessment in sigmoid volvulus.
  • To determine the role of endoscopy in assessing mucosal viability and guiding treatment decisions.

Main Methods:

  • Diagnostic endoscopic evaluation of the colon.
  • Assessment of mucosal color and viability during endoscopy.
  • Correlation of endoscopic findings with clinical outcomes and need for surgery.

Main Results:

  • Early endoscopic evaluation effectively assesses mucosal viability.
  • Black-brown mucosa observed during endoscopy is a strong indicator of intestinal gangrene.
  • Endoscopic reduction was considered in select cases.

Conclusions:

  • Endoscopic evaluation is valuable for determining mucosal viability in sigmoid volvulus.
  • Identification of gangrenous mucosa (black-brown appearance) mandates surgical intervention.
  • Endoscopy aids in timely decision-making for sigmoid volvulus management.