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  • Title: The management of sigmoid volvulus.
    Author: Madiba TE, Thomson SR.
    Journal: J R Coll Surg Edinb; 2000 Apr; 45(2):74-80. PubMed ID: 10822915.
    Abstract:
    The epidemiology and clinical pattern of sigmoid volvulus are well defined. Although clinical manifestations of acute volvulus are often clear-cut, diagnostic doubt is not uncommon and, if gangrene supervenes, mortality rises appreciably. While gangrene requires resectional surgery, the management of the viable colon related to a volvulus episode has a variety of options. These, particularly non-resectional alternatives, require more critical reappraisal in the light of advances in minimally invasive techniques.
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