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F Seowchoen - One of the best experts on this subject based on the ideXlab platform.

  • adult hirschsprung s disease presenting as Sigmoid Volvulus a case report and review of literature
    Techniques in Coloproctology, 2006
    Co-Authors: F L S Tan, Y M Tan, S M Heah, F Seowchoen
    Abstract:

    Sigmoid Volvulus is a rare presentation of Hirschsprung’s disease. A 38-year-old male presented with acute intestinal obstruction and a history of chronic constipation since childhood. Abdominal radiographs showed megarectum and megacolon with issipated feces. Sigmoidoscopy revealed gangrenous bowel mucosa affecting the Sigmoid colon. Emergency laparotomy revealed a grossly dilated bowel with concurrent gangrenous Sigmoid Volvulus. He was treated successfully with proctocolectomy with J-pouch-anal anastomosis and a defunctioning ileostomy. Histological analysis was consistent with short segment Hirschsprung’s disease. Although uncommon, adult Hirschsprung’s disease is a cause of chronic constipation and can present acutely with a Sigmoid Volvulus. Mortality in cases with Sigmoid Volvulus is greater than in cases without (15.4% vs. 0%). A better awareness of this condition will facilitate management.

  • minimizing recurrence after Sigmoid Volvulus
    British Journal of Surgery, 2003
    Co-Authors: Yawfui Alexander Chung, D C N K Nyam, A F P K Leong, F Seowchoen
    Abstract:

    Background: This study was a retrospective review of a series of patients with Sigmoid Volvulus to identify risk factors for recurrence and recommend appropriate treatment. Methods: Thirty-five patients with Sigmoid Volvulus were treated over 8 years. Results: Six patients had emergency surgery for peritonitis. Twenty-eight of the other 29 patients had successful endoscopic decompression; 15 of these patients had elective surgery during the same admission. Twelve of the 14 patients who refused operation after endoscopic decompression developed recurrent Volvulus, a median of 2·8 months later. Eight subsequently agreed to surgery and underwent elective operation following repeat decompression. Of 29 patients who had surgery, 27 had Sigmoid colectomy (two were initial Hartmann procedures) and two had subtotal colectomy. Six patients who had Sigmoid colectomy developed recurrent Volvulus. Concomitant megacolon and megarectum at the time of initial surgery were significant predictors of recurrence. Conclusion: Subtotal colectomy, carried out as the primary procedure if there is concomitant megacolon or megarectum, might reduce the risk of recurrent Sigmoid Volvulus. © 1999 British Journal of Surgery Society Ltd

Ger H Koek - One of the best experts on this subject based on the ideXlab platform.

  • treatment of recurrent Sigmoid Volvulus in parkinson s disease by percutaneous endoscopic colostomy
    World Journal of Gastroenterology, 2012
    Co-Authors: Susan Toebosch, Vera Tudyka, A A M Masclee, Ger H Koek
    Abstract:

    The exact aetiology of Sigmoid Volvulus in Parkinson's disease (PD) remains unclear. A multiplicity of factors may give rise to decreased gastrointestinal function in PD patients. Early recognition and treatment of constipation in PD patients may alter complications like Sigmoid Volvulus. Treatment of Sigmoid Volvulus in PD patients does not differ from other patients and involves endoscopic detorsion. If feasible, secondary Sigmoidal resection should be performed. However, if the expected surgical morbidity and mortality is unacceptably high or if the patient refuses surgery, percutaneous endoscopic colostomy (PEC) should be considered. We describe an elderly PD patient who presented with Sigmoid Volvulus. She was treated conservatively with endoscopic detorsion. Surgery was consistently refused by the patient. After recurrence of the Sigmoid Volvulus a PEC was placed.

Sabri Selcuk Atamanalp - One of the best experts on this subject based on the ideXlab platform.

  • Sigmoid Volvulus an update for atamanalp classification
    Pakistan Journal of Medical Sciences, 2020
    Co-Authors: Sabri Selcuk Atamanalp
    Abstract:

    Sigmoid Volvulus (SV), the wrapping of the Sigmoid colon around itself, is a rare colonic obstruction form. SV requires emergency endoscopic or surgical treatment following an urgent resuscitation and the prognosis is relatively poor. Although many different classifications have been made for SV in the past, the unique classification system, which assists the decision making in the management in addition to the estimation of the prognosis, was described in 2017. Thereafter, a great number of relevant subjects were discussed in the literature. The aim of this study is to update the present classification system in light of above-mentioned discussions and our experience with 1,028 SV patients, which is the largest single-centre SV series over the world. doi: https://doi.org/10.12669/pjms.36.5.2320 How to cite this:Atamanalp SS. Sigmoid Volvulus: An update for Atamanalp classification. Pak J Med Sci. 2020;36(5):1137-1139. doi: https://doi.org/10.12669/pjms.36.5.2320 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • Sigmoid Volvulus complicating pregnancy a case report
    The Eurasian Journal of Medicine, 2015
    Co-Authors: Sabri Selcuk Atamanalp, Abdullah Kisaoglu, Bunyami Ozogul, Mecit Kantarci, Esra Disci, Hakan O Bulut, Nurhak Aksungur, Refik Selim Atamanalp
    Abstract:

    Sigmoid Volvulus during pregnancy is a rare complication, and as of 2012, fewer than 100 cases had been reported. In this report, we present a 30 year-old pregnant woman with Sigmoid Volvulus, and we discuss this rare entity.

  • Sigmoid Volvulus diagnosis in 938 patients over 45 5 years
    Techniques in Coloproctology, 2013
    Co-Authors: Sabri Selcuk Atamanalp
    Abstract:

    Background Sigmoid Volvulus (SV) is the wrapping of the Sigmoid colon around itself and its mesentery. The goal of this study was to investigate the diagnosis approach to 938 patients with SV treated at our institution and their clinical outcomes.

  • treatment of Sigmoid Volvulus a single center experience of 952 patients over 46 5 years
    Techniques in Coloproctology, 2013
    Co-Authors: Sabri Selcuk Atamanalp
    Abstract:

    Background Sigmoid Volvulus describes the wrapping of the Sigmoid colon around itself and its mesentery, causing an intestinal obstruction. The aim of this study was to assess the outcomes of 952 patients treated for Sigmoid Volvulus over a period of 46.5 years.

  • factors affecting bowel gangrene development in patients with Sigmoid Volvulus
    Annals of Saudi Medicine, 2013
    Co-Authors: Sabri Selcuk Atamanalp, Abdullah Kisaoglu, Bunyami Ozogul
    Abstract:

    BACKGROUND AND OBJECTIVES: Sigmoid gangrene develops in 6.1% to 93.4% of Sigmoid Volvulus (SV) cases, and increases the mortality rate from 0% to 40% without bowel gangrene to 3.7% to 80%. This stu...

Fariborz Lalezarzadeh - One of the best experts on this subject based on the ideXlab platform.

  • delayed presentation of Sigmoid Volvulus in a young woman
    Western Journal of Emergency Medicine, 2012
    Co-Authors: Daniel Weingrow, Andrew Mccague, Ravi Shah, Fariborz Lalezarzadeh
    Abstract:

    Volvulus is an unusual condition in Western countries, generally isolated to elderly patients with multiple comorbidities. This report describes an unusual case of a very large gangrenous Sigmoid Volvulus in a young, otherwise healthy 25-year-old female. A review of the diagnosis and management is subsequently described. Without a consideration of the atypical demographics for Sigmoid Volvulus, the case illustrates the potential morbidity due to a delayed diagnosis. Early identification and management are crucial in treating Sigmoid Volvulus before the appearance of gangrene and necrosis, thereby avoiding further complications and associated mortality.

Kazuhiko Koike - One of the best experts on this subject based on the ideXlab platform.

  • prediction of the clinical outcomes of Sigmoid Volvulus by abdominal x ray axis classification system
    Gastroenterology Research and Practice, 2018
    Co-Authors: Rei Ishibashi, Ryota Niikura, Nobuya Obana, Sho Fukuda, Mayo Tsuboi, Tomonori Aoki, Shuntaro Yoshida, Atsuo Yamada, Yoshihiro Hirata, Kazuhiko Koike
    Abstract:

    Aim. Early diagnosis and evaluation of the severity of Sigmoid Volvulus are necessary for management and early intervention. We developed a new predictive classification system for Sigmoid Volvulus based on X-ray findings. Methods. We retrospectively analyzed 66 patients diagnosed with Sigmoid Volvulus using the electronic medical records at the Osaki Citizen’s Hospital and the University of Tokyo Hospital from 2008–2015. We classified patients according to the coffee-bean sign mesenteric axis on X-ray (AXIS classification: group A, 0–90°; group B, 90–135°; and group C, >135°). We examined the association between AXIS classification and severe Sigmoid Volvulus, intestinal necrosis, need for surgery, 30-day mortality, and length of stay using the Cochran–Armitage trend test. Results. In total, 66 patients were analyzed. They had a mean age of 76.9 years, and 47 (71.0%) were male. They were classified into three groups according to the AXIS classification system (group A, 40 patients; group B, 23 patients; and group C, 3 patients). Group C had a significantly higher frequency of severe Sigmoid Volvulus (100%) compared to group B (30%) and group A (15%). AXIS classification was significantly associated with the severity of Sigmoid Volvulus ( ), necrosis ( ), and need for surgery ( ), but not with the 30-day mortality or the length of stay. Conclusions. We developed the AXIS classification system to predict the severity of Sigmoid Volvulus. This new classification system may facilitate triage and therapeutic decision-making for Sigmoid Volvulus patients.