Evidence map›Paper›PMID 40659948›Full record

ArticleSurgical endoscopy2025

Two decades of endoscopic detorsion in sigmoid volvulus: prognostic factors for failure.

Thanat Tantinam, Suradet Buakhrun, Punnawat Chandrachamnong, Kullawat Bhatanaprabhabhan, Rangsima Thiengthiantham, Pawit Sutharat, Suwan Sanmee, Ekkarin Supatrakul, Boonchai Ngamsirimas, Nataphon Santrakul

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. Review
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

10 authors.

Thanat TantinamSurgical Unit, Phatthalung Hospital, Mueang Phatthalung, 93000, Thailand.
Suradet BuakhrunDivision of Colorectal Surgery, Department of Surgery, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand.
Punnawat ChandrachamnongDivision of Colorectal Surgery, Department of Surgery, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand.
Kullawat BhatanaprabhabhanDivision of Colorectal Surgery, Department of Surgery, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand.
Rangsima ThiengthianthamDivision of Colorectal Surgery, Department of Surgery, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand.
Pawit SutharatDivision of Colorectal Surgery and Clinical Surgical Research Center, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.
Suwan SanmeeDivision of Colorectal Surgery and Clinical Surgical Research Center, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.
Ekkarin SupatrakulDivision of Colorectal Surgery and Clinical Surgical Research Center, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.
Boonchai NgamsirimasDivision of Colorectal Surgery, Department of Surgery, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand.
Nataphon SantrakulDivision of Colorectal Surgery, Department of Surgery, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand. santrakul@nmu.ac.th.ORCID http://orcid.org/0009-0009-4602-2989

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic detorsion is the first-line treatment for sigmoid volvulus. However, a significant proportion of patients experience treatment failure, requiring emergency surgery, which is associated with increased morbidity. Identifying predictive factors for detorsion failure is crucial for optimizing management strategies and improving patient outcomes.

methodsThis retrospective cohort study analyzed 49 patients who underwent endoscopic detorsion for sigmoid volvulus at two tertiary hospitals in Thailand from 2004 to 2024. Demographic, clinical, and radiologic data were collected. Regression analysis, directed acyclic graphs (DAGs), and receiver operating characteristic (ROC) analysis were used to identify factors associated with detorsion failure.

resultsOf the 49 patients who underwent endoscopic detorsion, 19 (38.8%) experienced treatment failure. Multivariable regression analysis identified BMI ≥ 18.5 kg/m2 as associated with lower odds of detorsion failure (adjusted OR: 0.12, 95% CI 0.02-0.86, p = 0.04). Cecal diameter ≥ 6.8 cm was associated with increased failure risk (adjusted OR: 5.35, 95% CI 1.08-26.58, p = 0.04). Patients in the failed detorsion group had a significantly higher rate of postoperative ostomy creation (61.1% vs. 4.5%, p < 0.001), with 72.7% of these ostomies remaining unclosed.

conclusionsOur findings suggest that patients with a cecal diameter ≥ 6.8 cm and BMI < 18.5 kg/m

Indexed as

Intestinal VolvulusSigmoid DiseasesAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesThailandTreatment FailureEndoscopic detorsionFactorsFailureSigmoidectomySigmoid volvulus

Identifiers

PMID40659948

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.