Colonoscopic restoration for sigmoid vovulus in the elderly.
- Author:
Zheng LOU
1
;
En-da YU
;
Rong-gui MENG
;
Wei ZHANG
;
Lian-jie LIU
;
Han-tao WANG
;
Chuan-gang FU
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Colon, Sigmoid; surgery; Colonoscopy; Decompression, Surgical; Emergencies; Female; Humans; Intestinal Volvulus; surgery; Male; Recurrence; Retrospective Studies
- From: Chinese Journal of Gastrointestinal Surgery 2012;15(12):1244-1246
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the emergency therapeutic strategy for sigmoid vovulus in the elderly.
METHODSClinical data of 14 elderly patients with sigmoid vovulus were analyzed retrospectively.
RESULTSThe mean age was(79.1±7.2) years(range, 70-93), and 11 patients (78.6%) were male. Emergency decompression and restoration with colonoscopy was performed in all the patients with a success rate of 100%. No patient required emergent surgery. Four patients(28.6%) recurred and they were managed well by repeat colonoscopic restoration.
CONCLUSIONEmergency colonoscopic restoration is the first treatment of choice for sigmoid vovulus in the elderly because it is safe and effective, and can be performed repeatedly.
