Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey,
Tech Coloproctol. 2013 Oct;17(5):561-9. doi: 10.1007/s10151-013-1019-6. Epub 2013 May 1.
Sigmoid volvulus describes the wrapping of the sigmoid colon around itself and its mesentery, causing an intestinal obstruction. The aim of this study was to assess the outcomes of 952 patients treated for sigmoid volvulus over a period of 46.5 years.
Clinical records were reviewed retrospectively.
Nonsurgical detorsion was performed in 686 patients with 77.1 % success, 2.5 % morbidity, 0.7 % mortality, and 4.5 % early recurrence rates; emergency surgical procedures were performed in 447 patients with 35.3 % morbidity, 16.1 % mortality, 0.7 % early recurrence, and 7.4 % late recurrence rates, while elective surgical treatment was performed in 104 patients with 12.5 % morbidity, no mortality, and no recurrence.
The principal strategy in the treatment for sigmoid volvulus is early nonsurgical detorsion followed by elective surgery in uncomplicated patients, while emergency surgical treatment is performed for patients with bowel gangrene, perforation, or peritonitis, other difficulties with diagnosis, unsuccessful nonsurgical detorsion, and early recurrence.
乙状结肠扭转是指乙状结肠及其系膜缠绕自身，导致肠梗阻。本研究旨在评估 46.5 年间接受乙状结肠扭转治疗的 952 例患者的结局。
回顾性分析临床记录。
686 例患者行非手术复位，成功率为 77.1%，发病率为 2.5%，死亡率为 0.7%，早期复发率为 4.5%；447 例患者行急诊手术，发病率为 35.3%，死亡率为 16.1%，早期复发率为 0.7%，晚期复发率为 7.4%；104 例患者行择期手术，发病率为 12.5%，无死亡，无复发。
乙状结肠扭转的主要治疗策略是早期非手术复位，然后对无并发症的患者进行择期手术，而对于肠坏死、穿孔或腹膜炎、诊断困难、非手术复位失败和早期复发的患者，则进行急诊手术治疗。
