Year 2021 / Volume 113 / Number 1
Letter
Percutaneous endoscopic colostomy to treat recurrent sigmoid volvulus in an almost centenary patient

71-72

DOI: 10.17235/reed.2020.6943/2020

Patricia Sanz Segura, Yolanda Arguedas Lázaro, Juan J. Sebastián Domingo,

Abstract
We report the case of a 96-year-old institutionalized male, with severe dementia, who was admitted to our hospital with sigmoid volvulus. After successful decompression, the patient developed recurrent sigmoid volvulus twice within 76 hours, which required endoscopic repositioning. However, after a new recurrence and rejecting surgery, we chose percutaneous endoscopic colostomy, using the standard gastrostomy technique, in order to fix the mobile intestine to the abdominal wall to prevent torsion. Although observational studies with more cases and longer follow-up are needed, percutaneous endoscopic colostomy could be a safe and effective alternative in patients in whom conventional surgery is considered unsafe or inappropriate.
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11/01/2021 19:24:02
En Bol8via tenemos alta incidencia de megacolon chagásico y megacolon de altura. En casos similares al que hace referencia este artículo, hacemos sigmoidopexia endoscópica sin neces8dad de ostomía. El 9bjetiv9 es realizar una fijación del sigmoide a la 0ared abdominal y de esta manera evitar revolvulación.


References
1. M.W.L. Gauderer, J.L. Ponsky, R.J. Izant. Gastrostomy without laparoscopy: a percutaneous endoscopic technique. J Pediat Surg, 15 (1980), pp. 872-87.
2. Atamanalp S.S. and Ozturk G. Sigmoid volvulus in the elderly: outcomes of a 43-year, 453-patient experience, Surg. Today. 2011; 41 (4): 514–19.
3. Frank L, Moran A, Beaton C. Use of percutaneous endoscopic colostomy (PEC) to treat sigmoid volvulus: a systematic review. Endoscopy International Open 2016; 04: E737–E741
4. Imakita T, Suzuki Y, Ohdaira H, et al. Colonoscopy-assisted percutaneous sigmoidopexy: a novel, simple, safe, and efficient treatment for inoperable sigmoid volvulus (with videos). Gastrointestinal endoscopy. 2019; 90 (3): 514-520.
5. Molina-Infante J, Fernandez-Bermejo M, Mateos-Rodriguez JM. Recurrent sigmoid volvulus and fatal peritonitis after percutaneous endoscopicsigmoidoscopy. Endoscopy 2012; 44: 02.
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Sanz Segura P, Arguedas Lázaro Y, Sebastián Domingo J. Percutaneous endoscopic colostomy to treat recurrent sigmoid volvulus in an almost centenary patient. 6943/2020


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Publication history

Received: 04/02/2020

Accepted: 16/02/2020

Online First: 23/11/2020

Published: 11/01/2021

Article Online First time: 293 days

Article editing time: 342 days


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