Elective Treatment of Detorsioned Sigmoid Volvulus

S. Selçuk ATAMANALP; Durkaya ÖREN; Bülent AYDINLI

Makale detayları

Elective Treatment of Detorsioned Sigmoid Volvulus

Yazarlar:

S. Selçuk ATAMANALP | Durkaya ÖREN | Bülent AYDINLI

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2008 Vol.38 Issue 3, pp.227-234

Belge Tipi:

Makale

Yayın Tarihi:

2/2008

Belge Dili:

Türkçe

Document ID (Org No.):

2000755806

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Anahtar kelimeler:

Özet:

 

Aim: Recurrence after a successful nonoperative detorsion or a nondefinitive operation is an important problem in the treatment of sigmoid volvulus (SV). This study was designed to review the outcomes of elective treatment of successfully detorsioned SV and to discuss the treatment algorithm.   Materials and Methods: The records of 873 patients were reviewed retrospectively.   Results: Nonoperative treatment was applied in 614 patients. The success, mortality, complication and recurrence rates were 77.5%, 0.8%, 2.8%, and 4%, respectively. Emergency surgical treatment was performed in 416 patients with 15.6% mortality, 36.5% complication, 0.7% early recurrence and 6.5% late recurrence rates. Elective surgical treatment was suggested for 436 patients, 94 of whom (21.6%) received the treatment. Open sigmoid resection and anastomosis was applied in 86 patients, while laparoscopy-assisted sigmoid resection and anastomosis was applied in 8 patients. The mortality, complication and recurrence rates were 0%, 12.8% and 0%, respectively.   Conclusions: The principal strategy in the treatment of SV must be early nonoperative detorsion followed by an elective surgery in selected and well-prepared patients.

 

Aim: Recurrence after a successful nonoperative detorsion or a nondefinitive operation is an important problem in the treatment of sigmoid volvulus (SV). This study was designed to review the outcomes of elective treatment of successfully detorsioned SV and to discuss the treatment algorithm.   Materials and Methods: The records of 873 patients were reviewed retrospectively.   Results: Nonoperative treatment was applied in 614 patients. The success, mortality, complication and recurrence rates were 77.5%, 0.8%, 2.8%, and 4%, respectively. Emergency surgical treatment was performed in 416 patients with 15.6% mortality, 36.5% complication, 0.7% early recurrence and 6.5% late recurrence rates. Elective surgical treatment was suggested for 436 patients, 94 of whom (21.6%) received the treatment. Open sigmoid resection and anastomosis was applied in 86 patients, while laparoscopy-assisted sigmoid resection and anastomosis was applied in 8 patients. The mortality, complication and recurrence rates were 0%, 12.8% and 0%, respectively.   Conclusions: The principal strategy in the treatment of SV must be early nonoperative detorsion followed by an elective surgery in selected and well-prepared patients.

Makale detayları

Elective Treatment of Detorsioned Sigmoid Volvulus

Yazarlar:

S. Selçuk ATAMANALP | Durkaya ÖREN | Bülent AYDINLI

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2008 Vol.38 Issue 3, pp.227-234

Belge Tipi:

Makale

Yayın Tarihi:

2/2008

Belge Dili:

Türkçe

Document ID (Org No.):

2000755806

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Sigmoid volvulus

detorsion

elective treatment

Sayı

Makale detayları

Elective Treatment of Detorsioned Sigmoid Volvulus

Yazarlar: S. Selçuk ATAMANALP | Durkaya ÖREN | Bülent AYDINLI

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2008 Vol.38 Issue 3, pp.227-234

Belge Tipi: Makale

Yayın Tarihi: 2/2008

Belge Dili: Türkçe

Document ID (Org No.): 2000755806

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sigmoid volvulus

detorsion

elective treatment

Sayı

Yazarlar:

S. Selçuk ATAMANALP | Durkaya ÖREN | Bülent AYDINLI

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2008 Vol.38 Issue 3, pp.227-234

Belge Tipi:

Makale

Yayın Tarihi:

2/2008

Belge Dili:

Türkçe

Document ID (Org No.):

2000755806

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144