Open AccessPercutaneous endoscopic colostomy to treat recurrent sigmoid volvulus in an almost centenary patient
Author(s) -
Patricia Segura,
Yolanda Arguedas Lázaro,
Juan José Sebastián Domingo
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.6943/2020
Subject(s) - medicine , sigmoid volvulus , colostomy , surgery , percutaneous , decompression , percutaneous endoscopic gastrostomy , volvulus , endoscopy , general surgery , sigmoid colon , rectum , finance , peg ratio , economics
We report the case of a 96-year-old institutionalized male, with severe dementia, who was admitted to our hospital with sigmoid volvulus. After successful decompression, the patient developed recurrent sigmoid volvulus twice within 76 hours, which required endoscopic repositioning. However, after a new recurrence and rejecting surgery, we chose percutaneous endoscopic colostomy, using the standard gastrostomy technique, in order to x the mobile intestine to the abdominal wall to prevent torsion. Although observational studies with more cases and longer follow-up are needed, percutaneous endoscopic colostomy could be a safe and effective alternative in patients in whom conventional surgery is considered unsafe or inappropriate.