Harran Üniversitesi Tıp Fakültesi Dergisi

Yazarlar: Metin YÜCEL, Hakan ÇAKIT, Adnan ÖZPEK, Fatih BAŞAK, Sema YÜKSEKDAĞ, Aylin ACAR, Ali KILIÇ

Konular:Tıp

Anahtar Kelimeler:Torsion,Volvulus,Endoscopic detorsion

Özet: Background: Sigmoid colon torsion is an emergency situation for which there is no consensus for diagnosis and treatment. The objective of this study is to determine the incidence and appropriate treatment approach by analyzing patients treated and followed up in our clinic for sigmoid colon torsion. Material and Methods: This study screened patients retrospectively. The patients were diagnosed through physical examination, standing abdominal X-ray, and computerized tomography if required. Following resuscitation, emergency laparotomy was performed for patients with acute abdomen symptoms. Colonoscopic detorsion and semi-elective or elective definitive surgery were performed for stabilized patients. Demographic data, incidence rates, colonoscopic detorsion results, and type of surgery applied were analyzed. Results: This study included a total of 19 patients, 13(68.4%) males and 6(31.6%) females with a mean age of 58.00±24. Colonoscopic detorsion was attempted for 18 patients (94.7%), and successful results were achieved in 17(94.4%). After successful colonoscopic detorsion, semielective resection and primary anastomosis were performed for 5 patients, while elective resection and primary anastomosis were applied for 4 patients. Recurrences were seen in one (9%) of the patients who underwent surgery and in 4(66,6%) of the 6 patients who rejected the surgery. No mortality was seen in the operated patient group, whereas 4 patients (50%) died in the non-operated group. Recurrence and mortality were statistically significantly higher in the non-operated group (p=0.027, p=0.018 , respectively). Conclusion: In cases with no symptoms for acute abdomen, colonoscopic detorsion followed by elective or semi-elective definitive surgery is an appropriate approach for sigmoid colon torsion. Key words: 

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