Taviloğlu Korhan, Aydin Erol, Ertekin Cemalettin, Güloğlu Recep, Kurtoğlu Mehmet
Istanbul Universitesi, Istanbul Tip Fakültesi, Genel Cerrahi Anabilim Dali, Capa 34390, Istanbul.
Ulus Travma Derg. 2002 Apr;8(2):102-7.
Our aim was to emphasize the role of endoscopic detorsion in the treatment of sigmoid colon volvulus, which we currently apply in the majority of our cases.
The data of 37 patients were analyzed in a retrospective manner, during a 86-month period, between May 1994 and July 2001. The patients were classified into three groups. The first group consisted of 9 patients with resection and anastomosis, the second group consisted of 20 patients with Hartmann's procedure, and the third group consisted of 8 patients with endoscopic detorsion.
Complications were encountered in 7 patients (19%), and 3 patients (8%) died following treatment.
We favor colonic resection following endoscopic treatment. Resection should be preferred, if endoscopic detorsion is not successful or in the presence of a complication.