Endoscopic Fixation of Rectal Decompression Tube for Sigmoid Volvulus

Das, Raj; Hagger, R

doi:10.1308/rcsann.2008.90.5.425

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…Recurrence of volvulus even during this period is not uncommon because effective endoscopic decompression is not synonymous with successful untwisting [103]. Such early recurrences can be avoided by leaving a flatus tube in situ preferably under endoscopic guidance [104,105].…”

Section: Treatmentmentioning

confidence: 99%

Volvulus of the sigmoid colon

et al. 2010

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Section: Treatmentmentioning

confidence: 99%

Volvulus of the sigmoid colon

et al. 2010

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“…Recorrência de volvo, mesmo durante este período, não é incomum porque a descompressão endoscópica efetiva não é sinônima de sucesso de distorção 64 . Tais recorrências iniciais podem ser evitadas deixando um tubo de flatus in situ de preferência sob orientação endoscópica 53,65 .…”

Section: Discussionunclassified

A avaliação da atuação da colonoscopia no tratamento do volvo colônico

et al. 2019

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Objetivo: por meio dessa revisão sistemática qualitativa, objetivamos esclarecer qual o papel atual do endoscopista no volvo colônico. Métodos: a pesquisa da literatura foi realizada via PUBMED on-line bancos de dados de janeiro de 2004 a maio de 2017 com os termos "Intestinal Volvulus"[MeSH], "Colonoscopy"[Majr] e adult [MeSH]. Resultados: inicialmente, as estratégias de pesquisa acima mencionadas resultaram em 23 referências. Depois, com base nos critérios de elegibilidade, foram excluídas 12 referências, e 11 foram incluídas. Conclusão: desde a introdução da distorção endoscópica na década de 1940, essa abordagem, juntamente com a ressecção subsequente, tornou-se a principal modalidade terapêutica. A descompressão endoscópica é aceita como o tratamento primário do volvo colônico, no entanto, se houver suspeita de gangrena ou perfuração, pacientes com volvo colônico devem ser submetidos à cirurgia de emergência.

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Transanal Decompression Tube Placement for Treatment of Sigmoid Volvulus

Hattori,

Aramaki,

Watanabe

et al. 2024

J Anus Rectum Colon

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Objectives: This study was performed to investigate the efficacy of nonoperative treatment of uncomplicated sigmoid volvulus (SV) using a transanal decompression tube (TDT). Methods: This was a single-center retrospective study in patients with SV treated between 2008 and 2021. For uncomplicated patients, nonoperative decompression of any of four types was performed: decompression with a colonoscope (CS), TDT without CS, TDT with CS (tip in the sigmoid colon), and TDT with CS (tip in the descending colon). Results: A total of 72 patients with 109 admissions were enrolled in the study. Of these, 69 patients with uncomplicated SV were initially managed nonoperatively, whereas no procedures were performed in three patients due to presentation with septic shock on arrival. Of the 69 patients, 11 underwent surgery and two refused surgical management. Three patients showed improved CS without TDT. Among 53 patients who improved nonoperatively with TDT, 14 (26.4%) experienced recurrence with a median (range) time to recurrence of 603 (43-2714) days. No early recurrence was observed. Of a total of 106 cases with decompression, 97 (91.5%) were performed with TDT and all were completed without complications. The median (range) duration of decompression using TDT in these 81 cases without surgery was 5 (2-11) days. In the Cox proportional hazards regression model, only previous history of SV was associated with recurrence (hazard ratio 3.60; 95% confidence interval 1.24-10.46, p = 0.02). Conclusions: Decompression using TDT is safe, effective, and may reduce the rate of recurrence in patients with uncomplicated SV.

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Endoscopic Fixation of Rectal Decompression Tube for Sigmoid Volvulus

Cited by 3 publications

References 2 publications

Volvulus of the sigmoid colon

Volvulus of the sigmoid colon

A avaliação da atuação da colonoscopia no tratamento do volvo colônico

Transanal Decompression Tube Placement for Treatment of Sigmoid Volvulus

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