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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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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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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
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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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Percutaneous gas decompression can ease endoscopic derotation in sigmoid volvulus.

Ufuk Uylas1, Egemen Çiçek1, Fatih Sümer1

  • 1Division of Gastrointestinal Surgery, İnönü University Faculty of Medicine, Malatya, Türkiye.

Turkish Journal of Surgery
|December 7, 2023
PubMed
Summary

Colonoscopic derotation is a common treatment for sigmoid volvulus. A novel approach combining percutaneous gas decompression with endoscopic derotation offers a successful alternative when initial colonoscopy fails in elderly patients.

Keywords:
Colorectalbowel obstructiondecompressiondolichocolonendoscopyileus

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Interventional Endoscopy

Background:

  • Sigmoid volvulus commonly affects elderly and debilitated individuals.
  • Colonoscopic derotation is the primary treatment, but failure necessitates urgent surgery with high risks.
  • Percutaneous colonic gas decompression is an underutilized technique for sigmoid volvulus.

Observation:

  • A 78-year-old male patient with sigmoid volvulus experienced failed initial colonoscopic derotation.
  • Percutaneous gas decompression was performed, followed by successful endoscopic derotation.
  • This case highlights a potential salvage strategy for refractory sigmoid volvulus.

Findings:

  • Evacuating gas via percutaneous decompression facilitated successful endoscopic derotation after initial failure.
  • This combined approach may improve outcomes in high-risk patients.
  • The technique offers a less invasive option than immediate surgery.

Implications:

  • Percutaneous gas decompression followed by endoscopic derotation can be an effective strategy for sigmoid volvulus.
  • This method may reduce the need for urgent surgery in frail patients.
  • Further research is warranted to establish the role of this combined technique in clinical practice.