Ghazi A, Shinya H, Wolfe W I
Ann Surg. 1976 Mar;183(3):263-5. doi: 10.1097/00000658-197603000-00008.
The flexible colonoscope has notable advantages over rigid instruments and can be offered as an alternative and (probably) preferable method for non-surgical reduction of colonic volvulus. When operative intervention is called for because of repeated bouts of sigmoid volvulus, colonoscopy offers a means of preoperative deflation of the twisted loop, allowing time to prepare the bowel and correct systemic disturbances such as electrolyte imbalance. The first successful management of a case of recurrent sigmoid volvulus using fiberoptic flexible colonoscope is presented. It is suggested that the fiberoptic colonoscope may have similar application for instances of volvulus occurring more proximal than in the sigmoid colon. Sigmoid volvulus in children even though rare might also be amenable to correction by colonoscopy.
与硬质器械相比，可弯曲结肠镜具有显著优势，可作为非手术复位结肠扭转的一种替代方法，且可能是更可取的方法。当因乙状结肠扭转反复发作而需要进行手术干预时，结肠镜检查可提供一种使扭转肠袢术前减压的方法，从而有时间准备肠道并纠正诸如电解质失衡等全身紊乱情况。本文介绍了首例使用纤维光学可弯曲结肠镜成功处理复发性乙状结肠扭转病例的情况。有人提出，纤维光学结肠镜对于发生部位比乙状结肠更靠近近端的扭转情况可能有类似的应用价值。儿童乙状结肠扭转尽管罕见，但也可能适合通过结肠镜检查进行矫正。
