Treating Sigmoid Volvulus: What Are Your Options?
Treating Sigmoid Volvulus: What Are Your Options?
Treatment Options
Treating sigmoid volvulus depends on the severity of the condition. Knowing the treatment options can help you or a loved one make informed decisions.
Contents
- Immediate Surgical Intervention
- Non-Emergency Treatments
- Preventing Recurrence
Immediate Surgical Intervention
Patients with signs of perforation or peritonitis require immediate surgery. This involves removing the affected bowel part to prevent further complications. The procedure varies based on the patient's condition, ranging from partial to complete removal of the colon.
Non-Emergency Treatments
In less severe cases, doctors might use a flexible sigmoidoscopy to untwist the colon. This procedure helps restore bowel function temporarily, but surgery may still be needed to prevent recurrence. It's crucial to monitor the situation closely post-treatment.
Preventing Recurrence
After initial treatments, surgery is recommended to prevent future episodes. Options include sigmoid resection and primary anastomosis, which are effective in reducing recurrence rates. Non-resectional surgeries are less effective and not commonly recommended.
FAQs
What is the first step in severe cases?
Immediate surgery is required.
Can volvulus be treated without surgery?
Yes, but surgery is often needed later.
How can recurrence be prevented?
Surgical resection is recommended.
Treatment Pathways
Understanding treatment options empowers you to make informed health decisions.
Additional References
- Vogel JD, Feingold DL, Stewart DB, et al. Clinical Practice Guidelines for Colon Volvulus and Acute Colonic Pseudo-Obstruction. Dis Colon Rectum 2016; 59:589.
- Atamanalp SS. Treatment of sigmoid volvulus: a single-center experience of 952 patients over 46.5 years. Tech Coloproctol 2013; 17:561.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.