Comments on “Hirschsprung’s Disease Complicated by Sigmoid Volvulus: A Systematic Review”

Atamanalp, Sabri Selçuk

doi:10.5152/balkanmedj.2021.21004

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…In accordance with the literature, most of our patients reported chronic constipation. HD was diagnosed in 27.3% of the cases, a higher incidence than that recently reported by Atamanalp (0.2% of sigmoid volvulus cases) [16], but we should consider that the author practices in an area where CV is endemic (eastern Anatolia) and may show some differences from our series. Moreover, volvulus is a rare complication of HD, but the reported incidence of HD among children with volvulus is 18% [29].…”

Section: Discussioncontrasting

confidence: 63%

“…Ethical committee approval was not requested because the General Authorization to Process Personal Data for Scientific Research Purposes (Authorization no. 9/2014) declared that ethics approval is not needed for retrospective archive studies that use ID codes, preventing the data from being traced back directly to the data According to Atamanalp, the numerical density of ganglion cells correlates to volvulus onset, and it is feasible that HD may trigger the sigmoid twisting [16]. Fujiya et al confirmed that a decrease in the quantity of enteric plexus and ganglion cells precedes the clinical manifestation of the volvulus [36].…”

Section: Discussionmentioning

confidence: 99%

“…The etiology of CV remains unclear. Several risk factors have been proposed, including differences of local anatomy (e.g., elongated mesentery with narrow attachment, excessive mobilization of colonic segments), Hirschsprung's disease (HD), omphalomesenteric abnormalities, intestinal malrotation, anal stenosis, chronic constipation, surgical adhesions, prune belly syndrome and developmental delay [7,8,[14][15][16][17][18][19]. In particular, HD is associated with CV in 17% of cases, representing a significant risk factor [7,18,19].…”

Section: Introductionmentioning

confidence: 99%

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Colonic Volvulus in Children: Surgical Management of a Challenging Condition

et al. 2021

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Colonic volvulus (CV) is a rare but potentially life-threatening condition with unclear etiopathogenesis. To date, less than 80 pediatric cases have been described. Hirschsprung’s disease (HD) is associated with CV in 17% of cases, representing a significant risk factor. Non-HD CV is an even more complex entity. The aim of this study is to describe a series of patients with CV to accentuate some peculiar aspects of this disease. We performed a retrospective study (period: 2012–2021) collecting information of patients with CV. Data analyzed included: demographics, medical history, presenting symptoms and radiological and surgical details. Eleven patients (12.5 ± 2.8 years; 7F/4M) had CV (eight sigmoid, two transverse colon, one total colon). Five patients had associated anomalies and three had HD. A two-step approach with volvulus endoscopic/radiological detorsion followed by intestinal resection was attempted in eight cases (one endoscopic approach failed). Three patients required surgery at admission. At follow-up, two patients developed recurrent intestinal obstruction, one of whom also had anastomotic stenosis. Colonic volvulus is a challenging condition that requires prompt patient care. A missed diagnosis could lead to severe complications. The evaluation of the patient should include a careful histological examination (searching for HD and alpha-actin deficiency), immunologic and metabolic screening, neurological tests and detection of chronic intestinal pseudo-obstruction (CIPO). Lifelong follow-up is mandatory for the early recognition and treatment of progressive diseases involving the proximal gastrointestinal tract.

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Section: Discussioncontrasting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Colonic Volvulus in Children: Surgical Management of a Challenging Condition

et al. 2021

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“…Moreover, abnormal defecation habits and long-acting constipation may cause pseudo-obstruction mimicking SV. [78,79] Similarly, late-onset or acquired colonic hypoganglionosis in Auerbach plexus in intramuscular layers may also cause SV or SV-like disorders. [30,80] Neuronal intestinal dysplasia, which is characterized by hyperplasia of the plexus and hyperganglionosis, is another rare cause of SV.…”

Section: Neurological and Neuromuscular Entitiesmentioning

confidence: 99%

Sigmoid volvulus and concomitant clinical entities

Atamanalp,

Disci,

Peksoz

2024

Formos J Surg

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Sigmoid volvulus (SV) is common in elders. For this reason, most geriatric comorbidities accompany SV. Additionally, SV may associate with a great number of physiological or pathological entities. The purpose of this review is to evaluate the kind and the incidence of such comorbidities as well as to discuss their pathophysiology. To obtain all SV-related reports in worldwide data, an electronic search of the last 57-years’ literature (from 1967 to date) was made in Web of Science and PubMed databases by using ‘sigmoid volvulus’ heading. Additionally, we evaluated our results including 1,071 patients treated in 57-year period from June 1966 to July 2023. We noted comorbid entities in each case. Tens of physiological or pathological clinical entities may accompany SV. Some entities may be the cause or result of SV, while some others may mimic SV or mimicked by this disease. Moreover, some factors may predispose to SV, while some others may initiate it. Some of these comorbidities have cause and effect relations, while some others are coincidental. However, the relationship between SV and some comorbid entities as well as underlying pathologies are not clear enough.

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Comments on “Hirschsprung’s Disease Complicated by Sigmoid Volvulus: A Systematic Review”

Cited by 2 publications

References 5 publications

Colonic Volvulus in Children: Surgical Management of a Challenging Condition

Colonic Volvulus in Children: Surgical Management of a Challenging Condition

Sigmoid volvulus and concomitant clinical entities

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