Percutaneous gas decompression can ease endoscopic derotation in sigmoid volvulus
TURKISH JOURNAL OF SURGERY, cilt.39, sa.3, ss.278-280, 2023 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Vaka Takdimi
- Cilt numarası: 39 Sayı: 3
- Basım Tarihi: 2023
- Doi Numarası: 10.47717/turkjsurg.2022.4760
- Dergi Adı: TURKISH JOURNAL OF SURGERY
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.278-280
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- İnönü Üniversitesi Adresli: Evet
Özet
Sigmoid volvulus is a disease of elderly and debilitated patients. In sigmoid volvulus patients, colonoscopic derotation is the most commonly applied
approach as the first line treatment. However, colonoscopic derotation sometimes fail and then urgent surgery is required in these frail patients with
high morbidity and mortality. Percutaneous colonic gas decompression has been described to sigmoid volvulus. In case of life-threating increase intraabdominal pressure and as a primary attempt before colonoscopy. However, this technique did not find wide acceptance in the literature. Here, we aimed to
present a 78-year-old male with sigmoid volvulus in whom colonoscopic derotation failed and following percutaneous gas decompression, endoscopic
derotation could be done successfully. Evacuation of percutaneous colon gas in the sigmoid volvulus may facilitate endoscopic derotation when the first
colonoscopic attempt failed.
Keywords: Colorectal, dolichocolon, ileus, bowel obstruction, endoscopy, decompression