dc.description.abstract | Background/aims: the sigmoid colon is the most frequent site for a volvulus. In this report, we review our experience with sigmoid colon volvulus. Methodology: we present our experience of 81 cases of sigmoid volvulus admitted to our department. Results: preoperative endoscopic volvulus detortion was attempted in all patients, and in 39 of them the procedure was successful. The success rate of endoscopic detortion for sigmoid colon volvulus with a flexible colonoscope (60%) was higher than with a rigid rectosigmoidoscope (42%). In 19 of these 39 non-operatively devolvulated patients, sigmoid resection with primary anastomosis was performed within 7-10 days after reduction, but 20 patients did not accept the elective operation after a non-operative treatment. Among the 61 patients undergoing urgent or elective operation for sigmoid volvulus, there were 17 laparotomies laparatomies with only detortion, 19 resections with elective anastomosis, 6 resections with primary anastomosis, and 19 resections with a Hartmann's pouch. There were 9 deaths (21%) among 42 patients who underwent an emergency operation, and one (5.2%) among the 19 patients who had elective surgery died because of a cerebral embolus. Conclusions: initial therapy with endoscopy affords decompression and an adequate preparation of patients for surgical resection, and a flexible colonoscope has notable advantages over rigid instruments for the detortion process. Copyright © 2004 Arán Ediciones, S. L. | en_US |
dc.contributor.department | Turan, M., German Hospital, Department of General Surgery, Istanbul, Turkey, University Faculty of Medicine, Department of General Surgery, Sivas, Turkey, Gokcebostan Mah. Gonul Sok. Hurriyet, 58050 Sivas, Turkey -- Sen, M., Faculty of Medicine, Department of General Surgery, Cumhuriyet University, Sivas, Turkey, University Faculty of Medicine, Department of General Surgery, Sivas, Turkey -- Karadayi, K., German Hospital, Department of General Surgery, Istanbul, Turkey, University Faculty of Medicine, Department of General Surgery, Sivas, Turkey -- Koyuncu, A., German Hospital, Department of General Surgery, Istanbul, Turkey, University Faculty of Medicine, Department of General Surgery, Sivas, Turkey -- Topcu, O., German Hospital, Department of General Surgery, Istanbul, Turkey, University Faculty of Medicine, Department of General Surgery, Sivas, Turkey -- Yildirir, C., Faculty of Medicine, Department of General Surgery, Cumhuriyet University, Sivas, Turkey, University Faculty of Medicine, Department of General Surgery, Sivas, Turkey -- Duman, M., German Hospital, Department of General Surgery, Istanbul, Turkey, University Faculty of Medicine, Department of General Surgery, Sivas, Turkey | en_US |