title: Seven cases of sigmoid volvulus in Parkinson's disease.
abstract: Non-motor features of Parkinson's disease are receiving greater recognition. Constipation affects up to 50% of patients with Parkinson's disease and sigmoid volvulus remains an under recognised complication with mortality rates up to 50%. The incidence of sigmoid volvulus in the general population is 1.7/100,000/year. The specific incidence in Parkinson's disease is not known; however, this case series suggests that it is noticeably more than in the general population at 100/100,000/year. This paper highlights the importance of early recognition and treatment of constipation to prevent volvulus developing and thevarious treatments currently available.
authors.affiliation: Department of Medicine of the Elderly Royal Victoria Building Western General Hospital Crewe Road South Edinburgh EH4 2XU UK, E-mail samblackley@nhs.net.
authors.forename: S
authors.initials: S
authors.lastname: Blackley
authors.forename: C
authors.initials: C
authors.lastname: Maguire
authors.forename: T
authors.initials: T
authors.lastname: Daniels
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D012809:Colon, Sigmoid / Q000473:pathology*; D003248:Constipation / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000209:etiology*; D008297:Male; D010300:Parkinson Disease / Q000150:complications*
keywords: Parkinson's disease; constipation; non-motor; obstruction; volvulus