Open AccessWhat is done when endoscopic examination reveals borderline bowel ischemia in patients with sigmoid volvulus?
Author(s) -
Sabri Selçuk Atamanalp,
Refik Selim Atamanalp
Publication year - 2017
Publication title -
pakistan journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.316
H-Index - 30
eISSN - 1682-024X
pISSN - 1681-715X
DOI - 10.12669/pjms.333.12265
Subject(s) - medicine , sigmoid volvulus , perforation , sigmoid colon , general surgery , volvulus , surgery , gangrene , bowel perforation , rectum , materials science , punching , metallurgy , complication
Sigmoid volvulus (SV) is a rare colonic obstruction in which the sigmoid colonwraps around itself. The principal strategy for the treatment of uncomplicated SV is emergency endoscopic detorsion, while emergency surgery is needed in complicated SV with bowel gangrene, bowel perforation, peritonitis, or unsuccessful endoscopic treatment. In the endoscopic examination of SV, endoscopic detorsion is performed if the bowels are viable, while emergency surgery is needed if the bowels are gangrenous. However, the treatment approach is not clear when endoscopic examination reveals borderline bowel ischemia, and in this short report, the possible treatment strategies are discussed.