ArticleJournal of gastroenterology and hepatology2026
Clinical Factors Associated With Endoscopic Decompression Failure and Recurrent Sigmoid Volvulus: A Retrospective Cohort Study.
Article in Journal of gastroenterology and hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough sigmoid volvulus is a potentially life-threatening condition in elderly patients, its prognostic factors are not well-known. This study aimed to evaluate clinical outcomes and identify prognostic factors in patients with sigmoid volvulus.
methodsThis retrospective cohort study included 96 patients diagnosed with sigmoid volvulus by abdominal CT between January 2005 and January 2023 at two tertiary referral centers. After patients who underwent emergent surgery, refused endoscopic treatment, or experienced spontaneous decompression were excluded, 75 patients were analyzed. Logistic regression identified factors linked to endoscopic decompression failure, while Cox regression analyzed recurrence factors.
resultsAmong the 75 patients who underwent endoscopic decompression, 60 (80%) showed improvement, whereas 15 (20%) did not. In the logistic regression analysis, younger (≤ 65 years) age (odds ratio [OR], 10.21; 95% confidence interval [CI], 2.21-47.09) and larger (≥ 85 mm) maximum cross-sectional diameter of distended colon (OR, 5.06; 95% CI, 1.12-22.87) were associated with failure of initial endoscopic treatment. Among the 60 patients who initially improved with endoscopic treatment, cumulative recurrence rates were 30% at 1 year and 36.7% at 3 years. In the Cox regression analysis, a larger (≥ 85 mm) maximum cross-sectional diameter of distended colon (hazard ratio [HR], 3.27; 95% CI, 1.25-8.59) and a greater (≥ 230 mm) longitudinal axis length of spiraled colon (HR, 5.18; 95% CI, 1.67-16.05) at diagnosis were related to volvulus recurrence.
conclusionsYounger age (≤ 65 years) and severe colonic dilatation (≥ 85 mm) were associated with endoscopic decompression failure, while severe colonic dilatation (≥ 85 mm) and marked longitudinal elongation (≥ 230 mm) were independently related to recurrence. These findings may guide early surgical consultation for high-risk sigmoid volvulus patients and subsequent resection planning after successful decompression.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.