• Pak J Med Sci · May 2017

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

    • Sabri Selcuk Atamanalp and Refik Selim Atamanalp.
    • Prof. Sabri Selcuk Atamanalp, MD. Department of General Surgery Faculty of Medicine, Ataturk University, Erzurum, Turkey.
    • Pak J Med Sci. 2017 May 1; 33 (3): 761-763.

    AbstractSigmoid volvulus (SV) is a rare colonic obstruction in which the sigmoid colonwraps 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.

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