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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Comments on "contemporary management of large bowel obstruction: What you need to know".

The journal of trauma and acute care surgery·2026
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Comments on 'How do surgeons manage sigmoid volvulus electively? Results of a nationwide practice survey (AFC-SFCD-FRENCH)'.

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Related Experiment Video

Updated: Jul 26, 2025

Surgical Induction of Endolymphatic Hydrops by Obliteration of the Endolymphatic Duct
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Comments on "Sigmoid volvulus management, only endoscopic devolvulation?"

Sabri Selcuk Atamanalp1, Rifat Peksoz1, Esra Disci1

  • 1General Surgery, Faculty of Medicine. Ataturk University, Türkiye.

Revista Espanola De Enfermedades Digestivas
|June 23, 2023
PubMed
Summary

This study reviews sigmoid volvulus (SV) and its link to neuropsychiatric conditions, drawing on extensive clinical experience. It discusses endoscopic decompression and recurrence risks in managing this complex gastrointestinal issue.

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Area of Science:

  • Gastroenterology
  • Neurology
  • Surgical Sciences

Background:

  • Presents a commentary on a case of sigmoid volvulus (SV) in a patient with Lewy body dementia.
  • Highlights the authors' extensive monocenter experience with 1,063 SV cases over 56.5 years (1966-2023).
  • Establishes this series as the world's largest single-center collection of SV cases.

Discussion:

  • Examines the comorbidity between neuropsychiatric diseases and sigmoid volvulus.
  • Evaluates the role and efficacy of endoscopic decompression in SV management.
  • Addresses the factors influencing the recurrence of sigmoid volvulus.

Key Insights:

  • Sigmoid volvulus management requires consideration of potential underlying neuropsychiatric conditions.
  • Endoscopic decompression offers a potential treatment avenue, but recurrence remains a concern.
  • Large-scale clinical data is crucial for understanding SV epidemiology and optimizing treatment strategies.

Outlook:

  • Further research into the mechanisms linking neuropsychiatric disorders and SV is warranted.
  • Investigating optimal timing and patient selection for endoscopic versus surgical intervention for SV.
  • Long-term follow-up studies are needed to better predict and manage SV recurrence.