Management of Ileosigmoid Knotting: A Literature Review

ATAMANALP S. S., PEKSÖZ R., DİŞÇİ E., Atamanalp R. S., Atamanalp C. T.

EUROPEAN JOURNAL OF THERAPEUTICS, no.4, pp.525-530, 2024 (ESCI, TRDizin) identifier

  • Publication Type: Article / Review
  • Publication Date: 2024
  • Doi Number: 10.58600/eurjther2271
  • Journal Name: EUROPEAN JOURNAL OF THERAPEUTICS
  • Journal Indexes: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Page Numbers: pp.525-530
  • Ataturk University Affiliated: Yes

Abstract

Ileosigmoid knotting (ISK) is a rare double-segment intestinal obstruction form. Urgent surgery is the unique solution in the management of ISK. In surgical treatment, detorsion alone is generally used in patients with viable bowel, while cases with gangrenous bowel require resection. ISK recurrence is uncommon. However, due to the recurrence risk of sigmoid volvulus, the role of recurrence-reducing procedures is unclear. In this review, urgent treatment of ISK as well as the techniques and patient selection criteria of recurrence-reducing management are discussed.