What is done when endoscopic examination reveals borderline bowel ischemia in patients with sigmoid volvulus?

ATAMANALP S. S., ATAMANALP R. S.

PAKISTAN JOURNAL OF MEDICAL SCIENCES, cilt.33, sa.3, ss.761-763, 2017 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 3
  • Basım Tarihi: 2017
  • Doi Numarası: 10.12669/pjms.333.12265
  • Dergi Adı: PAKISTAN JOURNAL OF MEDICAL SCIENCES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.761-763
  • Anahtar Kelimeler: Sigmoid Colon, Volvulus, Endoscopy, Ischemia, Treatment, MANAGEMENT, DIAGNOSIS, GUIDELINE
  • Atatürk Üniversitesi Adresli: Evet

Özet

Sigmoid volvulus (SV) is a rare colonic obstruction in which the sigmoid colon wraps 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.