title: Treatment of sigmoid volvulus: a single-center experience of 952 patients over 46.5 years.
abstract: BACKGROUND
  Sigmoid volvulus describes the wrapping of the sigmoid colon around itself and its mesentery, causing an intestinal obstruction. The aim of this study was to assess the outcomes of 952 patients treated for sigmoid volvulus over a period of 46.5 years.
  
  
  METHODS
  Clinical records were reviewed retrospectively.
  
  
  RESULTS
  Nonsurgical detorsion was performed in 686 patients with 77.1 % success, 2.5 % morbidity, 0.7 % mortality, and 4.5 % early recurrence rates; emergency surgical procedures were performed in 447 patients with 35.3 % morbidity, 16.1 % mortality, 0.7 % early recurrence, and 7.4 % late recurrence rates, while elective surgical treatment was performed in 104 patients with 12.5 % morbidity, no mortality, and no recurrence.
  
  
  CONCLUSIONS
  The principal strategy in the treatment for sigmoid volvulus is early nonsurgical detorsion followed by elective surgery in uncomplicated patients, while emergency surgical treatment is performed for patients with bowel gangrene, perforation, or peritonitis, other difficulties with diagnosis, unsuccessful nonsurgical detorsion, and early recurrence.
authors: Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey, ssa@atauni.edu.tr.
authors: S S
authors: SS
authors: Atamanalp
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D001466:Barium Sulfate / Q000494:pharmacology*; D002648:Child; D002675:Child, Preschool; D003082:Colectomy / Q000379:methods*; D016208:Databases, Factual; D004638:Emergency Treatment / Q000379:methods; D004733:Enema / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D045822:Intestinal Volvulus / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012008:Recurrence; D012189:Retrospective Studies; D018570:Risk Assessment; D012737:Sex Factors; D012810:Sigmoid Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D012812:Sigmoidoscopy / Q000379:methods; D015996:Survival Rate; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D001466:Barium Sulfate
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