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Elective Treatment Of Detorsioned Sigmoid Volvulus, S. Selçuk Atamanalp, Durkaya Ören, Bülent Aydinli, Gürkan Öztürk, K. Yalçin Polat, Mahmut Başoğlu, M. İlhan Yildirgan, Abdul Meci̇t Kantarci, Ahmet A. Balik
Elective Treatment Of Detorsioned Sigmoid Volvulus, S. Selçuk Atamanalp, Durkaya Ören, Bülent Aydinli, Gürkan Öztürk, K. Yalçin Polat, Mahmut Başoğlu, M. İlhan Yildirgan, Abdul Meci̇t Kantarci, Ahmet A. Balik
Turkish Journal of Medical Sciences
Aim: Recurrence after a successful nonoperative detorsion or a nondefinitive operation is an important problem in the treatment of sigmoid volvulus (SV). This study was designed to review the outcomes of elective treatment of successfully detorsioned SV and to discuss the treatment algorithm. Materials and Methods: The records of 873 patients were reviewed retrospectively. Results: Nonoperative treatment was applied in 614 patients. The success, mortality, complication and recurrence rates were 77.5%, 0.8%, 2.8%, and 4%, respectively. Emergency surgical treatment was performed in 416 patients with 15.6% mortality, 36.5% complication, 0.7% early recurrence and 6.5% late recurrence rates. Elective surgical treatment …
Classification Of Sigmoid Volvulus, S. Selçuk Atamanalp, Bülent Aydinli, Gürkan Öztürk, Mahmut Başoğlu, M. İlhan Yildirgan, Durkaya Ören, Abdul Meci̇t Kantarci
Classification Of Sigmoid Volvulus, S. Selçuk Atamanalp, Bülent Aydinli, Gürkan Öztürk, Mahmut Başoğlu, M. İlhan Yildirgan, Durkaya Ören, Abdul Meci̇t Kantarci
Turkish Journal of Medical Sciences
Aim: The aim of this study was to establish a classification that will aid in the surgical treatment and prognosis of sigmoid volvulus (SV). Materials and Methods: The records of 420 patients with SV who were treated surgically during a 41.5-year period were reviewed retrospectively. The preoperative and operative criteria that were significantly correlated with mortality were determined. Results: Of 420 patients, 68 (16.2%) died. Age over 60 years (P < 0.001), associated disease (P < 0.001), presence of shock (P < 0.001), and presence of sigmoid colon gangrene (P < 0.001) were significantly correlated with mortality. A classification was made using these criteria. Conclusions: Recommended treatment options and potential mortality rates were determined for each class in the new classification based on the evaluation of the present series, our clinical experience, and literature findings. This classification may be helpful in determination of the surgical treatment and prognosis of SV.