OUR CURRENT APPROACH IN THE TREATMENT OF SIGMOID COLON VOLVULUS

BACKGROUND: Our aim was to emphasize the role of endoscopic detorsion in the treatment of sigmoid colon volvulus, which we currently apply in the majority of our cases.
METHODS: The data of37 patieots were analyzed in a retrospective mannel; during a 86-: month period, betwen May 1994 andJuly 2001. The patients were classified into three groups. The first group consisted of9 patients with resection and anastomosis, the second group consisted of20 patients with Hartmann's procedure, and the third group consisted of8 patients with endoscopic detorsion.
RESULTS: Complications were encountered in 7 patients (19 %), and 3 patients (8 %) diedfollowing treatment.
CONCLUSION: We favor colonic resection following endoscopic treatment Resection should be preferred, if endoscopic detorsion is not succesful or in the presence of a complication.

SÝGMOÝD VOLVULUS TEDAVÝSÝNDE GÜNCEL YAKLAÞIMLARIMIZ