The management of sigmoid volvulus.

  title={The management of sigmoid volvulus.},
  author={Thandinkosi E. Madiba and Sandie Rutherford Thomson},
  journal={Journal of the Royal College of Surgeons of Edinburgh},
  volume={45 2},
The epidemiology and clinical pattern of sigmoid volvulus are well defined. Although clinical manifestations of acute volvulus are often clear-cut, diagnostic doubt is not uncommon and, if gangrene supervenes, mortality rises appreciably. While gangrene requires resectional surgery, the management of the viable colon related to a volvulus episode has a variety of options. These, particularly non-resectional alternatives, require more critical reappraisal in the light of advances in minimally… CONTINUE READING

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