ArticleAnnals of the Royal College of Surgeons of England2022
Dilemma of sigmoid volvulus management.
Article in Annals of the Royal College of Surgeons of England, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 15 citations in OpenAlex.
- Sigmoid volvulus part 1: Understanding patient experiences and priorities.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Trans-Pfannenstiel sigmoidectomy for sigmoid volvulus: description of a novel surgical technique and initial experience from a retrospective case series.International journal of colorectal disease · 2026Article
- Management and outcomes of sigmoid volvulus: a retrospective cohort study of 46 patients at a tertiary care center.International journal of surgery case reports · 2026Article
- Clinical Factors Associated With Endoscopic Decompression Failure and Recurrent Sigmoid Volvulus: A Retrospective Cohort Study.Journal of gastroenterology and hepatology · 2026Article
- Safety and Efficacy of Endoscopic Derotation in Colonic Volvulus Occlusion: Systematic Review and Meta-Analysis.Journal of clinical medicine · 2026Review
- Article
- Case Report: Rapid altitude transition as an environmental trigger for acute sigmoid volvulus following oxaliplatin-based chemotherapy.Frontiers in medicine · 2026Article
- Ambiguities in Sigmoid Volvulus Management: Developing a Framework for Optimal Management Strategies.Cureus · 2025Article
- Management and risk factors for colonic volvulus: retrospective national cohort study.BJS open · 2025Article
- Survival outcomes in patients with sigmoid volvulus.International journal of colorectal disease · 2025Article
- Comments on 'dilemma of sigmoid volvulus management'.Annals of the Royal College of Surgeons of England · 2025Article
- Article
- Sigmoid Volvulus and Ileosigmoid Knotting: An Update.The Eurasian journal of medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPatients with sigmoid volvulus (SV) are at a high risk of recurrence with increased morbidity and mortality. This study aims to review whether patients with SV underwent definitive surgical treatment after initial endoscopic reduction according to the guidelines, and to compare mortality rate between surgical and conservative management.
methodsRetrospective study conducted at East Kent Hospitals University NHS Foundation Trust, included all patients with SV between 2016 and 2018. The primary outcome was 30-day mortality following the initial management of the acute attack. Secondary outcomes were recurrence rate and overall mortality. The median follow-up period was 3 years.
resultsA total of 40 patients were identified with a median age of 82 years; 27 (67%) were males. Of these 40 patients, 6 (15%) had emergency surgery, 26 (65%) received endoscopic decompression only, and 8 (20%) had planned definitive resection; 32 patients (80%) had recurrence and the median interval between any two episodes was 86 days. The mortality rate among patients with ASA grade 3 or 4 in the three groups, elective surgery, emergency surgery and decompression only, was 0%, 25% and 70% respectively, whereas it was 0%, 50% and 33% in those with ASA grade 2. The mortality rate among patients with similar ASA who had a planned surgery was significantly lower compared with those who did not undergo surgery (
conclusionsIn patients with sigmoid volvulus, regardless of ASA grade, performing early definitive surgery following initial endoscopic decompression resulted in a statistically significant lower mortality rate.
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