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Colonoscopic restoration for sigmoid vovulus in the elderly / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery ; (12): 1244-1246, 2012.
Article in Chinese | WPRIM | ID: wpr-312315
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the emergency therapeutic strategy for sigmoid vovulus in the elderly.</p><p><b>METHODS</b>Clinical data of 14 elderly patients with sigmoid vovulus were analyzed retrospectively.</p><p><b>RESULTS</b>The mean age was(79.1±7.2) years(range, 70-93), and 11 patients (78.6%) were male. Emergency decompression and restoration with colonoscopy was performed in all the patients with a success rate of 100%. No patient required emergent surgery. Four patients(28.6%) recurred and they were managed well by repeat colonoscopic restoration.</p><p><b>CONCLUSION</b>Emergency colonoscopic restoration is the first treatment of choice for sigmoid vovulus in the elderly because it is safe and effective, and can be performed repeatedly.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Recurrence / Colon, Sigmoid / General Surgery / Retrospective Studies / Colonoscopy / Decompression, Surgical / Intestinal Volvulus / Emergencies Type of study: Observational study Limits: Aged / Aged80 / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2012 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Recurrence / Colon, Sigmoid / General Surgery / Retrospective Studies / Colonoscopy / Decompression, Surgical / Intestinal Volvulus / Emergencies Type of study: Observational study Limits: Aged / Aged80 / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2012 Type: Article