Open AccessEndoscopic management of sigmoid volvulus in children
Author(s) -
Filippo Parolini,
Paolo Orizio,
Anna Lavinia Bulotta,
Miguel Garcia Magne,
Giovanni Boroni,
Gianpaolo Cengia,
Francesca Torri,
Daniele Alberti
Publication year - 2016
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v8.i12.439
Subject(s) - medicine , sigmoidoscopy , volvulus , perforation , surgery , concomitant , constipation , sigmoid colon , sigmoid volvulus , general surgery , colonoscopy , rectum , colorectal cancer , materials science , cancer , punching , metallurgy
Sigmoid volvulus (SV) is extremely uncommon in children and is usually associated with a long-standing history of constipation or pseudo-obstruction. An early diagnosis and management are crucial in order to prevent the appearance of hemorrhagic infarction of the twisted loop, avoiding further complications such as necrosis, perforation and sepsis. In patients with no evidence of peritonitis or ischemic bowel, treatment starts with resuscitation and detorsion of the SV, accomplished by means of sigmoidoscopy and concomitant rectal tube placement. The bowel is then prepared and surgery is undertaken electively during the same hospitalization. We report a detailed review of the literature focusing on technical details, risks and benefits of endoscopic management of SV in childhood.