Endoscopic management of acute sigmoid volvulus in high risk surgical elderly patients: a randomized controlled trial.

ABSTRACT:

Background

Most patients with sigmoid volvulus are of old age with multiple comorbidities. So, the risk of surgery for those elderly patients is usually associated with increased rates of morbidity and mortality. Early intervention is required for managing sigmoid volvulus to avoid its serious complications; therefore, early endoscopic untwist of sigmoid colon can be performed followed by endoscopic fixation of sigmoid colon under sedation in this category of the patients to avoid development of high risk surgical complications following surgical fixation of sigmoid colon or sigmoidectomy after initial simple loop colostomy procedure to relieve obstruction.

Methods

This prospective randomized controlled clinical trial included all patients who developed acute sigmoid volvulu

SUBMITTER: Negm S 

PROVIDER: S-EPMC10460710 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature