WSES consensus guidelines on sigmoid volvulus management

Brian W C A Tian¹, Gabriele Vigutto², Edward Tan³, Harry van Goor³, Cino Bendinelli⁴, Fikri Abu-Zidan⁵, Rao Ivatury⁶, Boris Sakakushev⁷, Isidoro Di Carlo⁸, Gabriele Sganga⁹, Ronald V Maier¹⁰, Raul Coimbra¹¹, Ari Leppäniemi¹², Andrey Litvin¹³, Dimitrios Damaskos¹⁴, Richard Ten Broek³, Walter Biffl¹⁵, Salomone Di Saverio¹⁶, Belinda De Simone¹⁷, Marco Ceresoli¹⁸, Edoardo Picetti¹⁹, Joseph Galante²⁰, Giovanni D Tebala²¹, Solomon Gurmu Beka²², Luigi Bonavina²³, Yunfeng Cui²⁴, Jim Khan²⁵, Enrico Cicuttin²⁶, Francesco Amico⁴, Inaba Kenji²⁷, Andreas Hecker²⁸, Luca Ansaloni²⁹, Massimo Sartelli³⁰, Ernest E Moore³¹, Yoram Kluger³², Mario Testini³³, Dieter Weber³⁴, Vanni Agnoletti³⁵, Nicola De' Angelis³⁶, Federico Coccolini²⁶, Ibrahima Sall³⁷, Fausto Catena²

Affiliations

¹ Department of General Surgery, Singapore General Hospital, Singapore, Singapore.
² Acute Care Surgery Unit, Department of Surgery and Trauma, Maurizio Bufalini Hospital, Cesena, Italy.
³ Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
⁴ Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW, Australia.
⁵ The Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.
⁶ Professor Emeritus Virginia Commonwealth University, Richmond, VA, USA.
⁷ Research Institute at Medical University Plovdiv, University Hospital St George, Plovdiv, Bulgaria.
⁸ Department of Surgical Sciences and Advanced Technologies "GF Ingrassia", Cannizzaro Hospital, University of Catania, Catania, Italy.
⁹ Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University, Rome, Italy.
¹⁰ Department of Surgery, Harborview Medical Center, University of Washington, Seattle, WA, USA.
¹¹ Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery, Department of Surgery, UCSD Health System - Hillcrest Campus, San Diego, CA, USA.
¹² Department of Abdominal Surgery, Abdominal Center, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
¹³ Department of Surgery, Immanuel Kant Baltic Federal University, Kaliningrad, Russia.
¹⁴ Department of Upper GI Surgery, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK.
¹⁵ Queen's Medical Center, University of Hawaii, Honolulu, HI, USA.
¹⁶ Trauma and General Surgeon Royal Perth Hospital, The University of Western Australia, Perth, Australia.
¹⁷ Department of Minimally Invasive Surgery, Guastalla Hospital, AUSL-IRCCS Reggio, Emilia, Italy.
¹⁸ Emergency and General Surgery Department, University of Milan-Bicocca, Milan, Italy.
¹⁹ Department of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy.
²⁰ Trauma Department, University of California, Davis, Sacramento, CA, USA.
²¹ Department of Digestive and Emergency Surgery, S. Maria Hospital Trust, Terni, Italy.
²² School of Medicine and Health Science, University of Otago, Wellington Campus, Wellington, New Zealand.
²³ Division of General Surgery, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.
²⁴ Department of Surgery, Nankai Clinical School of Medicine, Tianjin Nankai Hospital, Tianjin Medical University, Tianjin, China.
²⁵ Department of Colorectal Surgery, Queen Alexandra Hospital, University of Portsmouth, Southwick Hill Road, Cosham, Portsmouth, UK.
²⁶ General, Emergency and Trauma Surgery, Pisa University Hospital, Pisa, Italy.
²⁷ Division of Trauma, Critical Care University of Southern California, Los Angeles, USA.
²⁸ Department of General and Thoracic Surgery, University Hospital of Giessen, Giessen, Germany.
²⁹ General Surgery Department, Papa Giovanni XXIII Hospital, Bergamo, Italy.
³⁰ Department of Surgery, Macerata Hospital, Macerata, Italy.
³¹ Department of Surgery, Denver Health Medical Center, Denver, CO, USA.
³² Division of General Surgery, Rambam Health Care Campus, Haifa, Israel.
³³ Academic Unit of General Surgery "V. Bonomo", Department of Biomedical Sciences and Human Oncology, University of Bari, Bari, Italy.
³⁴ Department of General Surgery, Royal Perth Hospital, University of Western Australia, Perth, Australia.
³⁵ Anesthesia and Intensive Care Unit, AUSL Romagna, M. Bufalini Hospital, Cesena, Italy.
³⁶ Department of Digestive, Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Henri Mondor University Hospital, Paris, France.
³⁷ General Surgery Department, Military Teaching Hospital, Dakar, Senegal. sall_i17@yahoo.fr.

PMID: 37189134
PMCID: PMC10186802
DOI: 10.1186/s13017-023-00502-x

Review

WSES consensus guidelines on sigmoid volvulus management

Brian W C A Tian et al. World J Emerg Surg. 2023.

. 2023 May 15;18(1):34.

doi: 10.1186/s13017-023-00502-x.

Authors

Affiliations

¹ Department of General Surgery, Singapore General Hospital, Singapore, Singapore.
² Acute Care Surgery Unit, Department of Surgery and Trauma, Maurizio Bufalini Hospital, Cesena, Italy.
³ Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
⁴ Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW, Australia.
⁵ The Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.
⁶ Professor Emeritus Virginia Commonwealth University, Richmond, VA, USA.
⁷ Research Institute at Medical University Plovdiv, University Hospital St George, Plovdiv, Bulgaria.
⁸ Department of Surgical Sciences and Advanced Technologies "GF Ingrassia", Cannizzaro Hospital, University of Catania, Catania, Italy.
⁹ Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University, Rome, Italy.
¹⁰ Department of Surgery, Harborview Medical Center, University of Washington, Seattle, WA, USA.
¹¹ Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery, Department of Surgery, UCSD Health System - Hillcrest Campus, San Diego, CA, USA.
¹² Department of Abdominal Surgery, Abdominal Center, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
¹³ Department of Surgery, Immanuel Kant Baltic Federal University, Kaliningrad, Russia.
¹⁴ Department of Upper GI Surgery, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK.
¹⁵ Queen's Medical Center, University of Hawaii, Honolulu, HI, USA.
¹⁶ Trauma and General Surgeon Royal Perth Hospital, The University of Western Australia, Perth, Australia.
¹⁷ Department of Minimally Invasive Surgery, Guastalla Hospital, AUSL-IRCCS Reggio, Emilia, Italy.
¹⁸ Emergency and General Surgery Department, University of Milan-Bicocca, Milan, Italy.
¹⁹ Department of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy.
²⁰ Trauma Department, University of California, Davis, Sacramento, CA, USA.
²¹ Department of Digestive and Emergency Surgery, S. Maria Hospital Trust, Terni, Italy.
²² School of Medicine and Health Science, University of Otago, Wellington Campus, Wellington, New Zealand.
²³ Division of General Surgery, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.
²⁴ Department of Surgery, Nankai Clinical School of Medicine, Tianjin Nankai Hospital, Tianjin Medical University, Tianjin, China.
²⁵ Department of Colorectal Surgery, Queen Alexandra Hospital, University of Portsmouth, Southwick Hill Road, Cosham, Portsmouth, UK.
²⁶ General, Emergency and Trauma Surgery, Pisa University Hospital, Pisa, Italy.
²⁷ Division of Trauma, Critical Care University of Southern California, Los Angeles, USA.
²⁸ Department of General and Thoracic Surgery, University Hospital of Giessen, Giessen, Germany.
²⁹ General Surgery Department, Papa Giovanni XXIII Hospital, Bergamo, Italy.
³⁰ Department of Surgery, Macerata Hospital, Macerata, Italy.
³¹ Department of Surgery, Denver Health Medical Center, Denver, CO, USA.
³² Division of General Surgery, Rambam Health Care Campus, Haifa, Israel.
³³ Academic Unit of General Surgery "V. Bonomo", Department of Biomedical Sciences and Human Oncology, University of Bari, Bari, Italy.
³⁴ Department of General Surgery, Royal Perth Hospital, University of Western Australia, Perth, Australia.
³⁵ Anesthesia and Intensive Care Unit, AUSL Romagna, M. Bufalini Hospital, Cesena, Italy.
³⁶ Department of Digestive, Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Henri Mondor University Hospital, Paris, France.
³⁷ General Surgery Department, Military Teaching Hospital, Dakar, Senegal. sall_i17@yahoo.fr.

PMID: 37189134
PMCID: PMC10186802
DOI: 10.1186/s13017-023-00502-x

Abstract

Sigmoid volvulus is a common surgical emergency, especially in elderly patients. Patients can present with a wide range of clinical states: from asymptomatic, to frank peritonitis secondary to colonic perforation. These patients generally need urgent treatment, be it endoscopic decompression of the colon or an upfront colectomy. The World Society of Emergency Surgery united a worldwide group of international experts to review the current evidence and propose a consensus guidelines on the management of sigmoid volvulus.

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Conflict of interest statement

The authors declare that they have no competing interests.

References

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1. Gingold D, Murrell Z. Management of colonic volvulus. Clin Colon Rectal Surg. 2012;25:236–244. doi: 10.1055/s-0032-1329535. - DOI - PMC - PubMed
1. Bagarani M, Conde AS, Longo R, Italiano A, Terenzi A, Venuto G. Sigmoid volvulus in West Africa: a prospective study on surgical treatments. Dis Colon Rectum. 1993;36:186–190. doi: 10.1007/BF02051177. - DOI - PubMed
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WSES consensus guidelines on sigmoid volvulus management

Affiliations

WSES consensus guidelines on sigmoid volvulus management

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical