Endoscopic sigmoidopexy: a safer way to treat sigmoid volvulus?
Sigmoid volvulus may be treated by sigmoidoscopic reduction and elective sigmoidopexy or resection at a later stage, provided there is no evidence of peritonitis, perforation or rectal bleeding. However, operative treatment, whether urgent or elective, is associated with a relatively high morbidity and mortality. An endoscopic technique of sigmoidopexy is reported which is relatively quick and straightforward to perform, and is likely to have a lower rate of morbidity and mortality than conventional techniques for the treatment of sigmoid volvulus.
Choi
D
D
University Department of Surgery, Glasgow Royal Infirmary, UK.
Carter
R
R
D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D012810:Sigmoid Diseases / Q000601:surgery*; D012812:Sigmoidoscopy; D013536:Suture Techniques