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Related Experiment Videos

Endoscopy in colonic volvulus.

T E Brothers, W E Strodel, F E Eckhauser

    Annals of Surgery
    |July 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Flexible endoscopy aids colonic volvulus diagnosis and treatment. While effective, endoscopic reduction alone has high recurrence rates, and colonoscopy is more reliable than sigmoidoscopy for diagnosis.

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    Area of Science:

    • Gastroenterology
    • Colorectal Surgery
    • Diagnostic Endoscopy

    Background:

    • Colonic volvulus presents a significant challenge in gastrointestinal care.
    • Flexible fiberoptic endoscopy has emerged as a key tool for managing this condition.

    Purpose of the Study:

    • To review the management of colonic volvulus over nine years.
    • To evaluate the efficacy and safety of endoscopic interventions in colonic volvulus treatment.

    Main Methods:

    • Retrospective review of 39 patients with colonic volvulus.
    • Analysis of treatment modalities including rectal tube decompression, endoscopic reduction, and surgery.
    • Comparison of diagnostic accuracy between sigmoidoscopy and colonoscopy.

    Main Results:

    Related Experiment Videos

    • Endoscopic reduction was attempted in nearly half of patients, with a 57% recurrence rate when used alone.
    • Colonoscopy proved consistently diagnostic, whereas sigmoidoscopy failed in 24% of cases.
    • Overall mortality was 8%, rising to 25% in cases with colonic gangrene; early endoscopic diagnosis of gangrene led to successful surgical outcomes.

    Conclusions:

    • Flexible endoscopy is a safe and effective diagnostic method for suspected colonic volvulus.
    • Endoscopy facilitates therapeutic decompression and aids in assessing bowel viability, guiding surgical timing.
    • Colonoscopy offers superior diagnostic accuracy compared to sigmoidoscopy for colonic volvulus.