Year 2002 / Volume 94 / Number 4
Notas
Strangulated volvulus of the sigmoid colon with inviable mucosal appearence in a non-surgical patient. Endoscopic devolvulation

0

A. González Ramírez, L. López-Rosés, A. Lancho Seco, E. Santos Blanco, S. Soto, B. Urraca, S. Ávila y M. J. García Pais

Abstract
Colonoscopy is presently always performed before surgical management of a volvulus in the sigmoid colon. It leads to know the viability of the mucosa and, when possible, to resolve the volvulus
conservatively. Besides, with endoscopic control, we can place a decompression tube proximal to the volvulated sigmoid colon, favouring a non-surgical resolution.
With this conservative approach it is possible to overcome the acute period, and to restore the viability of the sigmoid wall, waiting for a definitive surgical management with less morbidity and
mortality. Only with endoscopy, revolvulation does occur in 35-50% of cases.
We present the clinical case of a sigmoid volvulus with compromised sigmoid wall in an 82-year-old man with several clinical problems contraindicating surgery. Endoscopic devolvulation with tube placement was adequate to resolve this sigmoid volvulus.
Share Button
New comment
Comments
No comments for this article
Related articles
Citation tools
A. González Ramírez, L. López-Rosés, A. Lancho Seco, E. Santos Blanco, S. Soto, B. Urraca, S. Ávila y M. J. García Pais. Strangulated volvulus of the sigmoid colon with inviable mucosal appearence in a non-surgical patient. Endoscopic devolvulation. 0


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 626 visits.
This article has been downloaded 5 times.
Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




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
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology