Скачать или смотреть Endoscopic intervention is a minimally invasive approach for managing sigmoid volvulus

Reference: https://www.videogie.org/article/S246...
Endoscopic treatment of sigmoid volvulus is a minimally invasive procedure aimed at addressing the twisting of the sigmoid colon, which can lead to bowel obstruction and ischemia. This condition is particularly prevalent in elderly patients and those with underlying gastrointestinal disorders. The endoscopic approach typically involves the use of a flexible endoscope to visualize the affected area, allowing for the untwisting of the volvulus. In many cases, this procedure can be performed on an outpatient basis, significantly reducing recovery time compared to traditional surgical methods.

During the endoscopic intervention, the physician may employ various techniques to facilitate the resolution of the volvulus. One common method is the use of a decompression tube, which is inserted through the endoscope to relieve pressure and gas buildup within the colon. Additionally, the endoscopist may utilize tools such as balloon dilators manipulate the bowel and restore its normal position. In some instances, the procedure may also include the placement of a stent to maintain patency and prevent recurrence of the volvulus, thereby providing a more permanent solution to the problem.

Post-procedure care is crucial for ensuring optimal recovery and preventing complications. Patients are typically monitored for signs of bowel perforation, infection, or recurrent obstruction. Follow-up evaluations, including imaging studies, may be necessary to assess the success of the treatment and to determine if further intervention is required. Overall, endoscopic treatment of sigmoid volvulus represents a valuable option in the management of this condition, offering a balance between efficacy and safety while minimizing the need for more invasive surgical interventions.