Endoscopic management of sigmoid volvulus in children

• 作者: Anna Lavinia Bulotta Daniele Alberti Fabio Torri Filippo Parolini Gianpaolo Cengia Giovanni Boroni Miguel Garcia Magne Paolo Orizio
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: SIGMOID VOLVULUS CONTRAST ENEMA CHILDREN ENDOSCOPY Surgery
• 年，卷（期）: 2016,（12）
• 页码范围: 439-443
• 页数: 5页
• 分类号: R

摘要

Sigmoid volvulus (SV) is extremely uncommon in children and is usually associated with a long-standing history of constipation or pseudo-obstruction. An early diagnosis and management are crucial in order to prevent the appearance of hemorrhagic infarction of the twisted loop, avoiding further complications such as necrosis,perforation and sepsis. In patients with no evidence of peritonitis or ischemic bowel, treatment starts with resuscitation and detorsion of the SV, accomplished by means of sigmoidoscopy and concomitant rectal tube placement. The bowel is then prepared and surgery is undertaken electively during the same hospitalization.We report a detailed review of the literature focusing on technical details, risks and benefits of endoscopicmanagement of SV in childhood.