Early-term elective laparoscopic resection after endoscopic detorsion in cases with sigmoid colonic volvulus

Abstract

AimVolvulus of the sigmoid colon is a cause of acute abdomen, which should be diagnosed quickly and appropriate treatment should be planned accord-ingly. Surgical and non-surgical methods are used for the treatment of such patients. In this study, the results of patients underwent endoscopic detor-sion firstly due to sigmoid colon volvulus, followed by early elective laparo-scopic resection were evaluated.MethodEight patients with sigmoid colon volvulus, who underwent endoscopic detorsion and then lapa-roscopic resection + anastomosis in our inpatient clinic from January 2016 to July 2017 were included in the study and their records were evaluated retro-spectively.ResultsEight patients with sigmoid colon volvulus were operated from January 2016 to July 2017. Three of the patients (37.5%) were female while 5 of them (62.5%) were male, and mean age was 61.6 (35-75). All of the patients were diagnosed in the emergency department of our hospital, and endoscopic detorsion was performed within 8 hours at the latest. Rectal tubes were inserted under fluoroscopic guidance within the postoperative period to prevent reoccurrence of volvulus. Patients were prepared for elec-tive operation after 13.3 (10-15) days on average. Laparoscopic sigmoid co-lon resection + anastomosis were performed on all patients. We did not have any mortality.ConclusionAs a primary treatment, resection + anastomosis should be performed under elective conditions after the endoscopic detorsion procedure. Laparoscopic resection can be performed safely in such patients.

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