The management of acute sigmoid volvulus
Article first published online: 7 DEC 2005
Copyright © 1981 British Journal of Surgery Society Ltd.
British Journal of Surgery
Volume 68, Issue 2, pages 117–120, February 1981
How to Cite
Anderson, J. R. and Lee, D. (1981), The management of acute sigmoid volvulus. Br J Surg, 68: 117–120. doi: 10.1002/bjs.1800680217
- Issue published online: 7 DEC 2005
- Article first published online: 7 DEC 2005
- Manuscript Accepted: 21 JUL 1980
One hundred and thirty-four patients with acute sigmoid volvulus are analysed. When the diagnosis is made preoperatively, decompression per rectum is effective in 85 per cent of cases, and should be the initial treatment of choice unless gangrene of the bowel is suspected. In this situation emergency laparotomy should be performed and where gangrenous bowel is confirmed a Hartmann resection appears to be associated with a low mortality and least complications. When the sigmoid loop is found to be viable, it should still be resected. The merits and pitfalls of various procedures in this situation are discussed.