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[Our current approach in the treatment of sigmoid colon volvulus].

作者信息

Taviloğlu Korhan, Aydin Erol, Ertekin Cemalettin, Güloğlu Recep, Kurtoğlu Mehmet

机构信息

Istanbul Universitesi, Istanbul Tip Fakültesi, Genel Cerrahi Anabilim Dali, Capa 34390, Istanbul.

出版信息

Ulus Travma Derg. 2002 Apr;8(2):102-7.

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

Complications were encountered in 7 patients (19%), and 3 patients (8%) died following treatment.

CONCLUSION

We favor colonic resection following endoscopic treatment. Resection should be preferred, if endoscopic detorsion is not successful or in the presence of a complication.

摘要

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