Classification of Sigmoid Volvulus
Aim: The aim of this study was to establish a classification that will aid in the surgical treatment and prognosis of sigmoid volvulus (SV). Materials and Methods: The records of 420 patients with SV who were treated surgically during a 41.5-year period were reviewed retrospectively. The preoperative and operative criteria that were significantly correlated with mortality were determined. Results: Of 420 patients, 68 (16.2%) died. Age over 60 years (P < 0.001), associated disease (P < 0.001), presence of shock (P < 0.001), and presence of sigmoid colon gangrene (P < 0.001) were significantly correlated with mortality. A classification was made using these criteria. Conclusions: Recommended treatment options and potential mortality rates were determined for each class in the new classification based on the evaluation of the present series, our clinical experience, and literature findings. This classification may be helpful in determination of the surgical treatment and prognosis of SV.
Classification of Sigmoid Volvulus
Aim: The aim of this study was to establish a classification that will aid in the surgical treatment and prognosis of sigmoid volvulus (SV). Materials and Methods: The records of 420 patients with SV who were treated surgically during a 41.5-year period were reviewed retrospectively. The preoperative and operative criteria that were significantly correlated with mortality were determined. Results: Of 420 patients, 68 (16.2%) died. Age over 60 years (P < 0.001), associated disease (P < 0.001), presence of shock (P < 0.001), and presence of sigmoid colon gangrene (P < 0.001) were significantly correlated with mortality. A classification was made using these criteria. Conclusions: Recommended treatment options and potential mortality rates were determined for each class in the new classification based on the evaluation of the present series, our clinical experience, and literature findings. This classification may be helpful in determination of the surgical treatment and prognosis of SV.
___
- Bak MP, Boley SC. Sigmoid volvulus in elderly patients. Am J Surg 1986; 151: 71-5.
- Bhatnagar BNS, Sharma CLN, Gautam A, Kakar A, Reddy DCS. Gangrenous sigmoid volvulus: a clinical study of 76 patients. Int J Colorectal Dis 2004; 19: 134-42.
- Bhuiyan MM, Machowski ZA, Linyama BS, Modiba MC. Manage- ment of sigmoid volvulus in Polokwane-Mankweng Hospital. S Afr J Surg 2005; 43: 17-9.
- Ballantyne GH, Brandner MD, Beart RW, Ilstrup DM. Volvulus of the colon. Incidence and mortality. Ann Surg 1985; 202: 83-91.
- Kuzu MA, Aslar AK, Soran A, Polat A, Topcu O, Hengirmen S. Emergent resection for acute sigmoid volvulus: results of 106 consecutive cases. Dis Colon Rectum 2002; 45: 1085-90.
- Dulger M, Canturk NZ, Utkan NZ, Gonullu NN. Management of sigmoid colon volvulus. Hepatogastroenterology 2000; 47: 1280-3.
- De U, Ghosh S. Single stage primary anastomosis without colonic lavage for left-sided colonic obstruction due to acute sigmoid volvulus: a prospective study of one hundred and ninety-seven cases. ANZ J Surg 2003; 73: 390-2.
- Raveenthiran V. Restorative resection of unprepared left-colon in gangrenous vs. viable sigmoid volvulus. Int J Colorectal Dis 2004; 19: 258-63.
- Agaoglu N, Yucel Y, Turkyilmaz S. Surgical treatment of the sig- moid volvulus. Acta Chir Belg 2005; 105: 365-8.
- Chung RS. Colectomy for sigmoid volvulus. Dis Colon Rectum 1997; 40: 363-5.
- Bach O, Rudloff U, Post S. Modification of mesosigmoidoplasty for nongangrenous sigmoid volvulus. World J Surg 2003; 27: 1329-32.
- Mehendale VG, Chaudhari NC, Mulchandani MH. Laparoscopic sig- moidopexy by extraperitonealization of sigmoid colon for sigmoid volvulus. Surg Laparosc Endosc Percutan Tech 2003; 13: 283-5.