Korean J Gastrointest Endosc.  2001 Jun;22(6):440-443.

A Case of Emergency Endoscopic Treatment of Sigmoid Volvulus

Affiliations
  • 1Department of Internal Medicine, Kyungpook National University, College of Medicine, Daegu, Korea. endoscopy@hanmail.net

Abstract

Sigmoid volvulus is a unfrequent cause of colon obstruction in Korea. Colonoscopic reduction and decompression is the preferred initial treatment of patients with sigmoid volvulus who do not have signs of bowel strangulation because of the high mortality associated with emergency surgery. We experienced a case of sigmoid volvulus in a 60-year-old male who presented with constipation, abdominal distension and abdominal pain. Sigmoid volvulus was diagnosed by simple abdominal film and he had taken successful emergency colonoscopic reduction of sigmoid volvulus. We report our experience & reviews the literature on the use of the colonoscope to treat sigmoid volvulus.

Keyword

Sigmoid volvulus; Endoscopic reduction

MeSH Terms

Abdominal Pain
Colon
Colon, Sigmoid*
Colonoscopes
Constipation
Decompression
Emergencies*
Humans
Intestinal Volvulus*
Korea
Male
Middle Aged
Mortality
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