Year 2002 / Volume 94 / Number 4
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Strangulated volvulus of the sigmoid colon with inviable mucosal appearence in a non-surgical patient. Endoscopic devolvulation

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A. González Ramírez, L. López-Rosés, A. Lancho Seco, E. Santos Blanco, S. Soto, B. Urraca, S. Ávila y M. J. García Pais

Abstract
Colonoscopy is presently always performed before surgical management of a volvulus in the sigmoid colon. It leads to know the viability of the mucosa and, when possible, to resolve the volvulus
conservatively. Besides, with endoscopic control, we can place a decompression tube proximal to the volvulated sigmoid colon, favouring a non-surgical resolution.
With this conservative approach it is possible to overcome the acute period, and to restore the viability of the sigmoid wall, waiting for a definitive surgical management with less morbidity and
mortality. Only with endoscopy, revolvulation does occur in 35-50% of cases.
We present the clinical case of a sigmoid volvulus with compromised sigmoid wall in an 82-year-old man with several clinical problems contraindicating surgery. Endoscopic devolvulation with tube placement was adequate to resolve this sigmoid volvulus.
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A. González Ramírez, L. López-Rosés, A. Lancho Seco, E. Santos Blanco, S. Soto, B. Urraca, S. Ávila y M. J. García Pais. Strangulated volvulus of the sigmoid colon with inviable mucosal appearence in a non-surgical patient. Endoscopic devolvulation. 0


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