title: [Colonoscopic restoration for sigmoid vovulus in the elderly].
abstract: OBJECTIVE
  To investigate the emergency therapeutic strategy for sigmoid vovulus in the elderly.
  
  
  METHODS
  Clinical data of 14 elderly patients with sigmoid vovulus were analyzed retrospectively.
  
  
  RESULTS
  The mean age was(79.1±7.2) years(range, 70-93), and 11 patients (78.6%) were male. Emergency decompression and restoration with colonoscopy was performed in all the patients with a success rate of 100%. No patient required emergent surgery. Four patients(28.6%) recurred and they were managed well by repeat colonoscopic restoration.
  
  
  CONCLUSIONS
  Emergency colonoscopic restoration is the first treatment of choice for sigmoid vovulus in the elderly because it is safe and effective, and can be performed repeatedly.
authors.affiliation: Department of Colorectal Surgery, The Second Military Medical University, Changhai Hospital, Shanghai, China.
authors.forename: Zheng
authors.initials: Z
authors.lastname: Lou
authors.forename: En-da
authors.initials: ED
authors.lastname: Yu
authors.forename: Rong-gui
authors.initials: RG
authors.lastname: Meng
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.forename: Lian-jie
authors.initials: LJ
authors.lastname: Liu
authors.forename: Han-tao
authors.initials: HT
authors.lastname: Wang
authors.forename: Chuan-gang
authors.initials: CG
authors.lastname: Fu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D012809:Colon, Sigmoid / Q000601:surgery*; D003113:Colonoscopy; D019299:Decompression, Surgical; D004630:Emergencies; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000601:surgery*; D008297:Male; D012008:Recurrence; D012189:Retrospective Studies