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Factors affecting recurrence in sigmoid volvulus.

Ercan Korkut1, Rifat Peksoz2, Esra Disci3

  • 1Ercan Korkut MD, Assistant Professor, Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.

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Summary

Recurrence of sigmoid volvulus (SV) is common after endoscopic decompression. Factors like older age, male gender, high-fiber diet, and high altitude increase SV recurrence risk.

Keywords:
Predisposing factorRecurrenceSigmoid volvulusVolvulus attack

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Epidemiology

Background:

  • Sigmoid volvulus (SV) recurrence is a significant clinical challenge after endoscopic decompression.
  • Identifying predictive factors for SV recurrence is crucial for patient management and treatment decisions.

Purpose of the Study:

  • To investigate and evaluate the key factors associated with recurrent sigmoid volvulus (SV) following endoscopic decompression.

Main Methods:

  • A retrospective analysis of 434 patients with SV treated between June 1986 and January 2022.
  • Prospective data collection analyzed potential recurrence factors: age, onset age, gender, diet, defecation habits, living altitude, and prior SV attack count.

Main Results:

  • SV recurrence was observed in 25.6% of patients (111/434).
  • Recurrence rates significantly increased with age, were higher in males, those with high-fiber diets, and individuals living at high altitudes.
  • Younger onset SV cases showed a significantly higher number of previous attacks.

Conclusions:

  • Elderliness, early-onset SV, male gender, high-fiber diet, high altitude, and possibly chronic constipation are key clinical predictors of recurrent SV.
  • These identified parameters, alongside a history of previous episodes, are vital for informed elective treatment decisions in SV management.