Current Management of Sigmoid Volvulus. A Therapeutic Approach

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Published: Nov 14, 2022
DOI: https://doi.org/10.47191/ijmscrs/v2-i11-22
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Héctor Zúñiga-Gazcón
Departamento de Cirugía, Unidad Médica de Alta Especialidad (UMAE), Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), IMSS, Guadalajara, Jalisco, México.
Diego Eduardo Saavedra Mayorga
Departamento de Anestesiología, Unidad Médica de Alta Especialidad (UMAE), Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), IMSS, Guadalajara, Jalisco, México.
Miguel Angel Flores-Delgado
Departamento de Cirugía, Unidad Médica de Alta Especialidad (UMAE), Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), IMSS, Guadalajara, Jalisco, México.

Abstract

When an air-filled loop of the sigmoid colon coils around its mesentery, this is referred to as sigmoid volvulus. When the degree of torsion surpasses 180 and 360 degrees, respectively, the intestinal lumen is obstructed, and vascular circulation is impaired. A sigmoid volvulus is suspected in individuals who have stomach discomfort, nausea, abdominal distension, constipation/obstipation, and a distended and tympanitic belly on physical examination. To confirm the diagnosis of sigmoid volvulus and rule out alternative causes of stomach discomfort and intestinal blockage, we do an abdominal computed tomography scan. The treatment of individuals with sigmoid volvulus is dependent on the presence of warning symptoms.

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Zúñiga-Gazcón, H. ., Saavedra Mayorga, D. E. ., & Flores-Delgado, M. A. . (2022). Current Management of Sigmoid Volvulus. A Therapeutic Approach. International Journal of Medical Science and Clinical Research Studies, 2(11), 1279–1280. https://doi.org/10.47191/ijmscrs/v2-i11-22
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Vol. 2 No. 11 (2022): Volume 02 Issue 11 November 2022
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Articles
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References

I. Bauman, Z. M., & Evans, C. H. (2018). Volvulus. Surgical Clinics, 98(5), 973-993.

II. Osiro, S. B., Cunningham, D., Shoja, M. M., Tubbs, R. S., Gielecki, J., & Loukas, M. (2012). Article Commentary: The Twisted Colon: A Review of Sigmoid Volvulus. The American Surgeon, 78(3), 271-279.

III. Gingold, D., & Murrell, Z. (2012). Management of colonic volvulus. Clinics in colon and rectal surgery, 25(04), 236-244.

IV. Sadatomo, A., Miyakura, Y., Zuiki, T., Koinuma, K., Horie, H., Lefor, A. T., & Yasuda, Y. (2013). Sigmoid volvulus after laparoscopic surgery for sigmoid colon cancer. Asian Journal of Endoscopic Surgery, 6(3), 217-219.

V. Salas, S., Angel, C. A., Salas, N., Murillo, C., & Swischuk, L. (2000). Sigmoid volvulus in children and adolescents. Journal of the American College of Surgeons, 190(6), 717-723.

VI. Chang, P. H., Jeng, C. M., Chen, D. F., & Lin, L. H. (2017). A case report and literature review of sigmoid volvulus in children. Medicine, 96(52).

VII. Lyon, C., & Clark, D. C. (2006). Diagnosis of acute abdominal pain in older patients. American family physician, 74(9), 1537-1544.

VIII. Pouli, S., Kozana, A., Papakitsou, I., Daskalogiannaki, M., & Raissaki, M. (2020). Gastrointestinal perforation: clinical and MDCT clues for identification of aetiology. Insights into Imaging, 11(1), 1-19.

IX. Jaffe, T., & Thompson, W. M. (2015). Large-bowel obstruction in the adult: classic radiographic and CT findings, etiology, and mimics. Radiology, 275(3), 651-663.

X. Salas, S., Angel, C. A., Salas, N., Murillo, C., & Swischuk, L. (2000). Sigmoid volvulus in children and adolescents. Journal of the American College of Surgeons, 190(6), 717-723.

XI. Gan, S. I., & Beck, P. L. (2003). A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management. The American journal of gastroenterology, 98(11), 2363-2371.

XII. Wegener, M., & Börsch, G. (1987). Acute colonic pseudo-obstruction (Ogilvie's syndrome). Surgical endoscopy, 1(3), 169-174

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