Presentation and endoscopic management of sigmoid volvulus in children

Colinet, Stéphanie; Rebeuh, Julie; Gottrand, Frédéric; Kalach, Nicolas; Paquot, Isabelle; Djeddi, Djamal-Dine; Henaff, Gaelle Le; Rebouissoux, Laurent; Robert, Virginie; Michaud, Laurent

doi:10.1007/s00431-015-2489-5

Cited by 34 publications

(41 citation statements)

References 12 publications

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“…A recent case series showed endoscopic detorsion (common practice in adults) to be a successful first-line treatment option in children as well. 1 To our knowledge, this is the first report of endoscopic reduction in an infant; previous reports in neonates all reported spontaneous, radiological or surgical resolution. [2][3][4] Our non-surgical approach has the additional advantage to allow sigmoidectomy (which is often needed to prevent recurrence) in a non-inflamed situation with primary anastomosis, after completing the diagnostic work-up that should be done to exclude underlying conditions such as Hirschsprung's disease.…”

Section: Dear Editor a Coffee Bean In An Infant: Call The Endoscopistmentioning

confidence: 71%

Rare-Earth Magnet Ingestion–Related Injuries in the Pediatric Population: A Review

Hodges

Denny

Smith

2015

American Journal of Lifestyle Medicine

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We would like to present a 6-week-old infant who presented with vomiting, refusal to eat and a distended abdomen for a few hours. Examination showed a distended, tympanic abdomen, with few to no abdominal sounds. Plain abdominal radiograph (Fig. 1) showed a 'coffee-bean' sign with air-fluid levels, confirming a sigmoid volvulus. A colonoscopy using a standard paediatric gastroscope was performed. Under direct endoscopic observation, the first whirl sign could be passed easily with subsequent aspiration of the air and fluid from within the loop. Because the second whirl sign could not be passed, the straightening, clockwise derotation manoeuver was performed just proximal to this. A drainage tube was left in place to prevent recurrence. As the infant had never passed stools spontaneously (after evacuation of meconium within 24 h after birth), anal manome-try was performed and rectal biopsies were taken. These were both suggestive for Hirschsprung's disease. Resection of the agan-glionic segment of the colon with primary anastomosis was performed a couple of weeks later. A recent case series showed endoscopic detorsion (common practice in adults) to be a successful first-line treatment option in children as well. 1 To our knowledge, this is the first report of endoscopic reduction in an infant; previous reports in neo-nates all reported spontaneous, radiological or surgical resolution. 2-4 Our non-surgical approach has the additional advantage to allow sigmoidectomy (which is often needed to prevent recurrence) in a non-inflamed situation with primary anastomosis, after completing the diagnostic work-up that should be done to exclude underlying conditions such as Hirschsprung's disease. Since a certain level of expertise and a paediatric gastroscope are needed for this endoscopic detorsion in an unwell infant, a transfer to a tertiary centre might be required.

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Section: Dear Editor a Coffee Bean In An Infant: Call The Endoscopistmentioning

confidence: 71%

Rare-Earth Magnet Ingestion–Related Injuries in the Pediatric Population: A Review

Hodges

Denny

Smith

2015

American Journal of Lifestyle Medicine

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“…1 To our knowledge, this is the first report of endoscopic reduction in an infant; previous reports in neonates all reported spontaneous, radiological or surgical resolution. [2][3][4] Our non-surgical approach has the additional advantage to allow sigmoidectomy (which is often needed to prevent recurrence) in a non-inflamed situation with primary anastomosis, after completing the diagnostic work-up that should be done to exclude underlying conditions such as Hirschsprung's disease.…”

Section: Dear Editor a Coffee Bean In An Infant: Call The Endoscopistmentioning

confidence: 71%

A coffee bean in an infant: Call the endoscopist

Horebeek

Hoffman

Witters

2017

J Paediatrics Child Health

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“…In adults, abdominal radiographs identify the omega or coffee bean sign in more than 60% of cases, but in children this has only a 17-30% success rate [1,2,4]. The most common findings in radiographs of children are colonic distention or an air-fluid level in sigmoid loops [1,8].…”

Section: Discussionmentioning

confidence: 99%

Sigmoid Volvulus in Children: Diagnosis and Therapeutic Challenge

Carmo

Amaral

Trindade³

et al. 2018

GE Port J Gastroenterol

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Background: Sigmoid volvulus is a rare condition in children. Early diagnosis increases the success of nonsurgical treatment in the emergency department, but posterior elective surgery is important due to the risk of recurrence. Methods/Conclusions: We present the case of a healthy 16-yearold girl with recurrent volvulus and successful endoscopic treatment followed by elective surgery. ResumoIntrodução: A ocorrência de um vólvulo do sigmoide na criança é raro, constituindo desta forma um desafio diagnóstico. A identificação precoce desta patologia é essencial pois permite que a redução do vólvulo seja efetuada numa primeira abordagem por métodos não cirúrgicos, e quanto mais precoce na história da doença maior a taxa de sucesso e menor o risco de complicações associadas. Métodos/Conclusões: No entanto a cirurgia eletiva posterior é mandatória pelo alto risco de recidiva. Os autores apresentam o caso de uma adolescente sem antecedentes patológicos de relevo com um vólvulo sigmoideu recorrente submetido a redução endoscópica com sucesso.

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Presentation and endoscopic management of sigmoid volvulus in children

Cited by 34 publications

References 12 publications

Rare-Earth Magnet Ingestion–Related Injuries in the Pediatric Population: A Review

Rare-Earth Magnet Ingestion–Related Injuries in the Pediatric Population: A Review

A coffee bean in an infant: Call the endoscopist

Sigmoid Volvulus in Children: Diagnosis and Therapeutic Challenge

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