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Review
. 2016 Jun 25;8(12):439-43.
doi: 10.4253/wjge.v8.i12.439.

Endoscopic management of sigmoid volvulus in children

Filippo Parolini  1 , Paolo Orizio  1 , Anna Lavinia Bulotta  1 , Miguel Garcia Magne  1 , Giovanni Boroni  1 , Gianpaolo Cengia  1 , Fabio Torri  1 , Daniele Alberti  1
Affiliations
Review

Endoscopic management of sigmoid volvulus in children

Filippo Parolini et al. World J Gastrointest Endosc. .

Abstract

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 endoscopic management of SV in childhood.

Keywords: Children; Contrast enema; Endoscopy; Sigmoid volvulus; Surgery.

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