ArticleInternational journal of colorectal disease2021
Risk factors affecting failure of colonoscopic detorsion for sigmoid colon volvulus: a single center experience.
Article in International journal of colorectal disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 7 citations in OpenAlex.
- Clinical Factors Associated With Endoscopic Decompression Failure and Recurrent Sigmoid Volvulus: A Retrospective Cohort Study.Journal of gastroenterology and hepatology · 2026Article
- The relationship between clinical features and treatment options in sigmoid volvulus: Experience of 59 years and 1,096 patients.Pakistan journal of medical sciences · 2025Article
- Two decades of endoscopic detorsion in sigmoid volvulus: prognostic factors for failure.Surgical endoscopy · 2025Article
- The effects of endoscopic procedures and flatus tube application on early recurrence following endoscopic detorsion in sigmoid volvulus: Review of 792 patients.Pakistan journal of medical sciences · 2025Article
- Management of early recurrence following successful endoscopic detorsion in sigmoid volvulus.Pakistan journal of medical sciences · 2024Article
- Endoscopic detorsion of sigmoid volvulus in a young female: a case report.Journal of medical case reports · 2024Article
- Transanal Decompression Tube Placement for Treatment of Sigmoid Volvulus.Journal of the anus, rectum and colon · 2024Article
- 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 · 2023Article
- Sigmoid volvulus and diabetes mellitus.Pakistan journal of medical sciencesArticle
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeColonoscopic detorsion (CD) is the first treatment option for uncomplicated sigmoid volvulus (SV). We aim to examine the factors affecting the failure of CD.
methodsThe files of patients, treated after diagnosis of SV between January 2015 and September 2020, were retrospectively reviewed. Patients' demographic data, comorbidities, endoscopy reports, and surgical and other treatments were recorded. Patients were divided into two groups, as the successful CD group and unsuccessful CD group. The data were compared between the groups, and multivariate analysis of statistically significant variables was performed.
resultsThere were 21 patients in the unsuccessful CD group and 52 patients in the successful CD group. The unsuccessful CD rate was found to be 28.76%; this is likely a function of more neuropsychiatric disease, more accompanying sigmoid diverticulum, previous abdominal surgery, abdominal tenderness, onset of symptoms for more than 48 h, higher mean intra-abdominal pressure (IAP), IAP over 15 mmHg, larger mean diameter of the cecum, the cecum diameter over 10 cm, and higher mean C-reactive protein (CRP) values as statistically significant. In the multivariate analysis, previous abdominal surgery and cecum diameter over 10 cm were seen as predictive factors for failure of CD (p=0.049, OR=0.103, and p = 0.028, OR=10.540, respectively).
conclusionsCD failure rate was significantly associated with previous abdominal surgery and a cecum diameter over 10 cm. We found that patients with these factors will tend to need more emergency surgery.
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