title: [Colonoscopic approach in the therapy of sigmoid volvulus].
abstract: We present 13 patients with 15 episodes of colonic volvulus, who underwent colonoscopy to decompress and/or devolvulate. Colonoscopic exploration demonstrated a non obstructive dilatation in three cases. In the remaining 10 patients, with 12 episodes of volvulus, decompression was obtained in 83.3% and devoluvulation in 41.6%. There were two failures, due to peritoneal metastases and adhesions which fixed the volvulus. In 40% of the cases there were mild ischemic signs. Forty per cent of the patients were submitted to elective surgery and the two failures (20%) were operated in emergency. The remaining 4 patients declined surgical treatment. At is allows differential diagnosis, we think that, for these patients, colonoscopy should be the first therapeutic approach; it also allows decompression and/or devolvulation and an early diagnosis of the associated ischemia.
authors.affiliation: Servicio Medicina Aparato Digestivo, Hospital General Gregorio Marañón, Madrid.
authors.forename: G
authors.initials: G
authors.lastname: Clemente Ricote
authors.forename: R
authors.initials: R
authors.lastname: Bañares Cañizares
authors.forename: J J
authors.initials: JJ
authors.lastname: Sebastián Domingo
authors.forename: L
authors.initials: L
authors.lastname: Rábago Torre
authors.forename: P L
authors.initials: PL
authors.lastname: Menchén
authors.forename: C
authors.initials: C
authors.lastname: Senent
authors.forename: J L
authors.initials: JL
authors.lastname: Velo
authors.forename: V
authors.initials: V
authors.lastname: Pérez de Ayala
authors.forename: D
authors.initials: D
authors.lastname: Castellanos
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000175:diagnosis / Q000628:therapy*; D003113:Colonoscopy; D003937:Diagnosis, Differential; D004108:Dilatation, Pathologic / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000628:therapy*; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000175:diagnosis / Q000628:therapy*
vernacular_title: Abordaje colonscópico en el tratamiento del vólvulo sigmoide.