title: Endoscopic management of sigmoid volvulus in children.
abstract: Sigmoid volvulus (SV) is extremely uncommon in children and is usually associated with a long-standing history of constipation or pseudo-obstruction. An early diagnosis and management are crucial in order to prevent the appearance of hemorrhagic infarction of the twisted loop, avoiding further complications such as necrosis, perforation and sepsis. In patients with no evidence of peritonitis or ischemic bowel, treatment starts with resuscitation and detorsion of the SV, accomplished by means of sigmoidoscopy and concomitant rectal tube placement. The bowel is then prepared and surgery is undertaken electively during the same hospitalization. We report a detailed review of the literature focusing on technical details, risks and benefits of endoscopic management of SV in childhood.
authors.affiliation: Filippo Parolini, Paolo Orizio, Anna Lavinia Bulotta, Miguel Garcia Magne, Giovanni Boroni, Fabio Torri, Daniele Alberti, Department of Paediatric Surgery, "Spedali Civili" Children's Hospital, 25123 Brescia, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Parolini
authors.affiliation: Filippo Parolini, Paolo Orizio, Anna Lavinia Bulotta, Miguel Garcia Magne, Giovanni Boroni, Fabio Torri, Daniele Alberti, Department of Paediatric Surgery, "Spedali Civili" Children's Hospital, 25123 Brescia, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Orizio
authors.affiliation: Filippo Parolini, Paolo Orizio, Anna Lavinia Bulotta, Miguel Garcia Magne, Giovanni Boroni, Fabio Torri, Daniele Alberti, Department of Paediatric Surgery, "Spedali Civili" Children's Hospital, 25123 Brescia, Italy.
authors.forename: Anna Lavinia
authors.initials: AL
authors.lastname: Bulotta
authors.affiliation: Filippo Parolini, Paolo Orizio, Anna Lavinia Bulotta, Miguel Garcia Magne, Giovanni Boroni, Fabio Torri, Daniele Alberti, Department of Paediatric Surgery, "Spedali Civili" Children's Hospital, 25123 Brescia, Italy.
authors.forename: Miguel
authors.initials: M
authors.lastname: Garcia Magne
authors.affiliation: Filippo Parolini, Paolo Orizio, Anna Lavinia Bulotta, Miguel Garcia Magne, Giovanni Boroni, Fabio Torri, Daniele Alberti, Department of Paediatric Surgery, "Spedali Civili" Children's Hospital, 25123 Brescia, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Boroni
authors.affiliation: Filippo Parolini, Paolo Orizio, Anna Lavinia Bulotta, Miguel Garcia Magne, Giovanni Boroni, Fabio Torri, Daniele Alberti, Department of Paediatric Surgery, "Spedali Civili" Children's Hospital, 25123 Brescia, Italy.
authors.forename: Gianpaolo
authors.initials: G
authors.lastname: Cengia
authors.affiliation: Filippo Parolini, Paolo Orizio, Anna Lavinia Bulotta, Miguel Garcia Magne, Giovanni Boroni, Fabio Torri, Daniele Alberti, Department of Paediatric Surgery, "Spedali Civili" Children's Hospital, 25123 Brescia, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Torri
authors.affiliation: Filippo Parolini, Paolo Orizio, Anna Lavinia Bulotta, Miguel Garcia Magne, Giovanni Boroni, Fabio Torri, Daniele Alberti, Department of Paediatric Surgery, "Spedali Civili" Children's Hospital, 25123 Brescia, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Alberti
keywords: Children; Contrast enema; Endoscopy; Sigmoid volvulus; Surgery