Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion

Tomoya Iida; Suguru Nakagaki; Shuji Satoh; Haruo Shimizu; Hiroyuki Kaneto; Hiroshi Nakase

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자료유형: 학술저널

저자정보: Tomoya Iida (Muroran City General Hospital Muroran) Suguru Nakagaki (Muroran City General Hospital Muroran) Shuji Satoh (Muroran City General Hospital Muroran) Haruo Shimizu (Muroran City General Hospital Muroran) Hiroyuki Kaneto (Muroran City General Hospital Muroran) Hiroshi Nakase (Sapporo Medical University School of Medicine Sapporo Japan)

저널정보: 대한장연구학회 Intestinal research Intestinal research Vol.15 No.2

발행연도: 2017.1

수록면: 215 - 220 (6page)

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Background/Aims: Although multiple treatment options exist for the management of sigmoid colon volvulus, no study hasexamined the factors associated with successful endoscopic detorsion. This study aimed to examine the clinical course ofpatients with sigmoid colon volvulus and to identify factors related to successful endoscopic detorsion. Methods: This studyincluded 30 cases (21 patients) of sigmoid volvulus from among 545 cases of intestinal obstruction at a single center. We retrospectivelyexamined the clinical course and the factors associated with the possibility of endoscopic detorsion of sigmoidcolon volvulus. Results: The rate of laxative use among the study participants was 76.2%; the rate of comorbid neuropsychiatricdisorders was 61.9%; and 57.1% of patients had a history of open abdominal surgery. All patients were initially treated withendoscopic detorsion, and this procedure had a 61.9% success rate. The recurrence rate after detorsion was as high as 46.2%,but detorsion during revision endoscopy was possible in all cases. Statistical analysis revealed that the absence of abdominaltenderness (P =0.027), the use of laxatives (P =0.027), and a history of open abdominal surgery (P =0.032) were factors predictiveof successful endoscopic detorsion. Conclusions: The results of our study are consistent with previous reports with respectto the success rate of endoscopic detorsion, the subsequent recurrence rate, and the proportion of patients requiring surgicaltreatment. In addition, we identified the absence of abdominal tenderness, the use of laxatives, and history of open abdominalsurgery as factors predicting successful endoscopic detorsion of sigmoid colon volvulus.

참고문헌 (16)

참고문헌 신청

Påhlman L / 1989 / Volvulus of the colon:a review of 93 cases and current aspects of treatment / Acta Chir Scand 155:53~56

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Kasten KR / 2015 / What are the results of colonic volvulus surgery? / Dis Colon Rectum 58:502~507

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