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Rigid Sigmoidoscopy
1
Transcript
Rigid Sigmoidoscopy in Sigmoid Volvulus
Methods
Aims
A review of available literature for evidence of role of rigid sigmoidoscopy in acute sigmoid volvulus
PubMed search with all papers "sigmoid", "volvulus" "Rigid sigmoidoscopy"
105 results
4 papers identified
3 other with some data
- Retrospective review of single centre in Singapore
- 71 patients included
- 72% over 60
- 58% multiple co-morbidities
- 90% initially managed with rigid sigmoidoscopy +/- flatus tube
- 75% successfully treated conservatively (10 failed, 1 perforated, 1 refused treatment)
- 23% had surgery of those 17% died
- Single centre, retrospective, Turkey
- 61 patients, no demographic data
- Mortality rate for
- Endoscopic Detortion 13%
- Primary resection 16.6%
- Hartmann's procedure 37.5%
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