| Clinical Analysis of Sigmoid Volvulus |
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Ji Hyun Kim, Jin Yong Kim, Kwan An Kwon, Moon Gi Chung, Jong Eun Yeon, Jong-Jae Park, Jae Seon Kim, Kwan Soo Byun, Young-Tae Bak |
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Department of Internal Medicine, Korea University College of Medicine, Seoul, Department of Internal Medicine, Gachon Medical School, Gil Medical Center, Incheon, Korea
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| S상 결장 염전증의 임상소견 |
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김지현, 김진용, 권광안, 정문기, 연종은, 박종재, 김재선, 변관수, 박영태 |
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고려대학교 의과대학 내과학교실, 가천의과대학교 내과학교실 |
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| Abstract |
Background/Aims
Sigmoid volvulus is a rare cause of large bowel obstruction, but can lead to significant morbidity, but there have been few recent studies in Korea. This study was undertaken to evaluate the clinical features of sigmoid volvulus. Methods: We retrospectively reviewed the medical records of 11 patients diagnosed as a sigmoid volvulus in Korea university Guro, Ansan, Anam hospital and Gachon medical school Gil medical center from January 2000 to February 2005 and investigated their demographics, clinical course and outcomes. Results: The mean age was 34 years (range 25-58) and the male：female ratio was 6：5. Endoscopic decompression was attempted in 10 of 11 patients and was successful in all of them. 4 of them were undergone elective surgery and 1 of them developed recurrent sigmoid volvulus. 1 patient died by sepsis and total 4 patients developed recurrent volvulus. Conclusions: The mean age was relatively young compared with previously reported cases. Initial endoscopic decompression resolves the acute obstruction in the all of cases and recurrent rate was 40% and mortality rate was 9%. (Intestinal Research 2005;3:117-120) |
| Key Words:
Sigmoid volvulus, Endoscopic decompression |
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