[Our current approach in the treatment of sigmoid colon volvulus].
BACKGROUND
Our aim was to emphasize the role of endoscopic detorsion in the treatment of sigmoid colon volvulus, which we currently apply in the majority of our cases.


METHODS
The data of 37 patients were analyzed in a retrospective manner, during a 86-month period, between May 1994 and July 2001. The patients were classified into three groups. The first group consisted of 9 patients with resection and anastomosis, the second group consisted of 20 patients with Hartmann's procedure, and the third group consisted of 8 patients with endoscopic detorsion.


RESULTS
Complications were encountered in 7 patients (19%), and 3 patients (8%) died following treatment.


CONCLUSIONS
We favor colonic resection following endoscopic treatment. Resection should be preferred, if endoscopic detorsion is not successful or in the presence of a complication.
Taviloğlu
Korhan
K
Istanbul Universitesi, Istanbul Tip Fakültesi, Genel Cerrahi Anabilim Dali, Capa 34390, Istanbul. korhan@taviloglu.com
Aydin
Erol
E
Ertekin
Cemalettin
C
Güloğlu
Recep
R
Kurtoğlu
Mehmet
M
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D012809:Colon, Sigmoid / Q000601:surgery*; D004638:Emergency Treatment; D004724:Endoscopy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012810:Sigmoid Diseases / Q000601:surgery*; D016896:Treatment Outcome