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Sigmoidoscopic Reduction of Sigmoid Volvulus
Author(s) -
Knight J.,
Bokey E. L.,
Chapuis P. H.,
Phells M. T.
Publication year - 1980
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1980.tb77071.x
Subject(s) - medicine , sigmoid volvulus , perforation , volvulus , surgery , sigmoid colon , resection , surgical emergency , general surgery , rectum , materials science , punching , metallurgy
Twenty–six patients were treated for a volvulus of the sigmoid colon between January, 1971, and June, 1979. Eight patients had an emergency resection and, although there was a high post–operative morbidity, there were no deaths in this group. An attempt to decompress the volvulus by means of a rigid sigmoidoscope was made in 18 patients. This was successful in 14 patients. Six of these patients suffered a recurrence, and perforation occurred in four patients, three of whom subsequently died. Because of the high risk of perforation, care should be taken with this procedure.