Il volvolo del sigma: aspetti diagnostici e terapeutici (considerazioni su 10 casi)


COD: 2001_01_079-86 Categorie: ,

M. Roseano, G. Guarino, A. Cuviello

Ann. Ital. Chir., LXXII, 1, 2001

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Background: Sigmoid volvulus is associated with a high mortality because affects elderly patients who often have severe comorbid conditions that increase their surgical risk. Objectives: The aim of this study was to evaluate the most common procedures of diagnosis and treatments to obtain better results. Methods: The clinical presentation, diagnosis and treat – ment of 10 consecutive patients with sigmoid volvulus are reviewed. Ages ranged from 30 to 93 years. Endoscopic decompression was tried in 6 and was successful in 3 cases. Seven patients had emergency surgery: surgical procedures were resection in 1 case and detorsion with sigmoidopexy in 6; two patients had elective surgery after endoscopic decompression: surgical procedure was resection.