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Gastroenterologie
a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2016; 70(3): 217–219. doi:10.14735/amgh2016217.

Endoscopic management of sigmoid volvulus

Ivana Mikoviny Kajzrlíková1, Petr Vítek2,3, Martin Chrostek4

+ Affiliation

Summary

We present a case report of a 37-year-old woman who was admitted for abdominal pain and nausea. Imaging showed the presence of a sigmoid volvulus, which was successfully treated by endoscopic reduction and insertion of a decompression tube. The mucosa of affected sigmoid colon showed no signs of bowel ischemia. Endoscopic reduction was followed by surgical resection of a 70 cm long section of the dolichosigmoid colon to prevent recurrence. Sigmoid volvulus is a relatively uncommon cause of intestinal obstruction in Western countries. It usually occurs in older patients with a history of chronic obstipation. Other risk factors are a long sigmoid colon and colonic dismotility. In patients who do not have clinical features suggestive of gangrene, sepsis, or perforation, endoscopic management is the preferred method and has a success rate 75–95%. The majority of authors recommend subsequent surgical resection because sigmoid volvulus reoccurs in 60% of patients not treated by surgery.

Keywords

GIST, POEM, endoscopic resection, submucosal tumor

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