Evidence map›Paper›PMID 23946604›Full record

ArticleWorld journal of gastroenterology2013

Appropriate treatment of acute sigmoid volvulus in the emergency setting.

Zheng Lou, En-Da Yu, Wei Zhang, Rong-Gui Meng, Li-Qiang Hao, Chuan-Gang Fu

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Endoscopic decompression of sigmoid volvulus using a corrugated tube.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Colonic Volvulus.Clinics in colon and rectal surgery · 2024
    Review
  12. Article
  13. Sigmoid and cecum colon volvulus: a case report.Journal of medical case reports · 2024
    Article
  14. Acute Abdominal Pain and a Whirlpool Sign on Computed Tomography: A Case Report.Clinical practice and cases in emergency medicine · 2024
    Article
  15. Review
  16. Article
  17. WSES consensus guidelines on sigmoid volvulus management.World journal of emergency surgery : WJES · 2023
    Review
  18. Article
  19. Recurrence-Preventive Role of Flatus Tubes Following Endoscopic Decompression in Sigmoid Volvulus.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Zheng LouDepartment of Colorectal Surgery, Changhai Hospital, Shanghai 200433, China.
En-Da Yu
Wei Zhang
Rong-Gui Meng
Li-Qiang Hao
Chuan-Gang Fu
Second Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate an appropriate strategy for the treatment of patients with acute sigmoid volvulus in the emergency setting.

methodsA retrospective review of 28 patients with acute sigmoid volvulus treated in the Department of Colorectal Surgery, Changhai Hospital, Shanghai from January 2001 to July 2012 was performed. Following the diagnosis of acute sigmoid volvulus, an initial colonoscopic approach was adopted if there was no evidence of diffuse peritonitis.

resultsOf the 28 patients with acute sigmoid volvulus, 19 (67.9%) were male and 9 (32.1%) were female. Their mean age was 63.1 ± 22.9 years (range, 21-93 years). Six (21.4%) patients had a history of abdominal surgery, and 17 (60.7%) patients had a history of constipation. Abdominal radiography or computed tomography was performed in all patients. Colonoscopic detorsion was performed in all 28 patients with a success rate of 92.8% (26/28). Emergency surgery was required in the other two patients. Of the 26 successfully treated patients, seven (26.9%) had recurrent volvulus.

conclusionColonoscopy is the primary emergency treatment of choice in uncomplicated acute sigmoid volvulus. Emergency surgery is only for patients in whom nonoperative treatment is unsuccessful, or in those with peritonitis.

Indexed as

ColonoscopyAcute DiseaseAdultAgedAged, 80 and overChinaDecompression, SurgicalEmergenciesFemaleHumansIntestinal VolvulusMaleMiddle AgedPatient SelectionPredictive Value of TestsRecurrenceColonoscopyEmergencySigmoid colonVolvulus

Identifiers

PMID23946604
PMCPMC3740429
OpenAlexW2167526875

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.