What is the efficacy of sigmoidoscopic detorsion for the treatment of sigmoid and cecal volvulus?

Updated: Nov 28, 2018
  • Author: Scott C Thornton, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Sigmoidoscopic detorsion is successful in more than 90% of patients with sigmoid volvulus, but colonoscopic detorsion is successful in only 10-15% of patients with cecal volvulus. Computed tomography (CT) of the abdomen and pelvis can be obtained in hemodynamically stable patients. This can better define a cecal volvulus as the cause of the obstruction.


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