Ileosigmoid knotting: An update for Atamanalp classification

Area of Science:

• Gastroenterology
• Surgical Pathology

Background:

• Ileosigmoid knotting (ISK) is a rare and severe form of double-loop bowel obstruction.
• ISK necessitates emergency surgical intervention and is associated with a guarded prognosis.

Purpose of the Study:

• To update the most recent comprehensive classification system for ileosigmoid knotting (ISK).
• To integrate literature reviews with extensive clinical experience from 80 ISK cases.

Main Methods:

• Review of existing literature on ISK classification.
• Analysis of clinical data from 80 surgically treated ISK cases at a single center.
• Comparative evaluation of the 2018 ISK classification with updated findings.

Main Results:

• The study presents an updated classification for ISK based on a large single-center series.
• Incorporation of clinical data refines the understanding of ISK presentations and outcomes.
• The updated classification aims to provide a more comprehensive framework for ISK.

Conclusions:

• The updated ISK classification offers a refined approach to this rare condition.
• This work enhances the diagnostic and prognostic framework for ileosigmoid knotting.
• Further validation of the updated classification is warranted in diverse clinical settings.