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  • Title: [Colonoscopic approach in the therapy of sigmoid volvulus].
    Author: Clemente Ricote G, Bañares Cañizares R, Sebastián Domingo JJ, Rábago Torre L, Menchén PL, Senent C, Velo JL, Pérez de Ayala V, Castellanos D.
    Journal: Rev Esp Enferm Dig; 1990 Feb; 77(2):129-32. PubMed ID: 2346681.
    Abstract:
    We present 13 patients with 15 episodes of colonic volvulus, who underwent colonoscopy to decompress and/or devolvulate. Colonoscopic exploration demonstrated a non obstructive dilatation in three cases. In the remaining 10 patients, with 12 episodes of volvulus, decompression was obtained in 83.3% and devoluvulation in 41.6%. There were two failures, due to peritoneal metastases and adhesions which fixed the volvulus. In 40% of the cases there were mild ischemic signs. Forty per cent of the patients were submitted to elective surgery and the two failures (20%) were operated in emergency. The remaining 4 patients declined surgical treatment. At is allows differential diagnosis, we think that, for these patients, colonoscopy should be the first therapeutic approach; it also allows decompression and/or devolvulation and an early diagnosis of the associated ischemia.
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