title: [Our current approach in the treatment of sigmoid colon volvulus].
abstract: 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.
authors.affiliation: Istanbul Universitesi, Istanbul Tip Fakültesi, Genel Cerrahi Anabilim Dali, Capa 34390, Istanbul. korhan@taviloglu.com
authors.forename: Korhan
authors.initials: K
authors.lastname: Taviloğlu
authors.forename: Erol
authors.initials: E
authors.lastname: Aydin
authors.forename: Cemalettin
authors.initials: C
authors.lastname: Ertekin
authors.forename: Recep
authors.initials: R
authors.lastname: Güloğlu
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kurtoğlu
mesh_terms: 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