Year 2021 / Volume 113 / Number 1
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Year 2021 / Volume 113 / Number 1

Research letter

Percutaneous endoscopic colostomy to treat recurrent sigmoid volvulus in an almost centenary patient

71-72

Patricia Sanz Segura, Yolanda Arguedas Lázaro, Juan J. Sebastián Domingo,

We report the case of a 96-year-old institutionalized male, with severe dementia, who was admitted to our hospital with sigmoid volvulus. After successful decompression, the patient developed recurrent sigmoid volvulus twice within 76 hours, which required endoscopic repositioning. However, after a new recurrence and rejecting surgery, we chose percutaneous endoscopic colostomy, using the standard gastrostomy technique, in order to fix the mobile intestine to the abdominal wall to prevent torsion. Although observational studies with more cases and longer follow-up are needed, percutaneous endoscopic colostomy could be a safe and effective alternative in patients in whom conventional surgery is considered unsafe or inappropriate.

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Comments

11/01/2021 19:24:02
En Bol8via tenemos alta incidencia de megacolon chagásico y megacolon de altura. En casos similares al que hace referencia este artículo, hacemos sigmoidopexia endoscópica sin neces8dad de ostomía. El 9bjetiv9 es realizar una fijación del sigmoide a la 0ared abdominal y de esta manera evitar revolvulación.


Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
© 2021 The Spanish Journal of Gastroenterology