Patience is key: Association of surgical timing with clinical outcomes in elderly patients with sigmoid volvulus.
Am J Surg
; 232: 81-86, 2024 Jun.
Article
en En
| MEDLINE
| ID: mdl-38278705
ABSTRACT
BACKGROUND:
Current guidelines for sigmoid volvulus recommend endoscopy as a first line of treatment for decompression, followed by colectomy as early as possible. Timing of the latter varies greatly. This study compared early (≤2 days) versus delayed (>2 days) sigmoid colectomy.METHODS:
2016-2019 NRD database was queried to identify patients aged ≥65 years admitted for sigmoid volvulus who underwent sequential endoscopic decompression and sigmoid colectomy. Outcomes included mortality, complications, hospital length of stay, readmissions, and hospital costs.RESULTS:
842 patients were included, of which 409 (48.6 â%) underwent delayed sigmoid colectomy. Delayed sigmoid colectomy was associated with reduced cardiac complications (1.1 â% vs 0.0 â%, p â= â0.045), reduced ostomy rate (38.3 â% vs 29.4 â%, p â= â0.013), an increased overall length of stay (12 days vs 8 days, p â< â0.001) and increased overall costs (27,764 dollar vs. 24,472 dollar, p â< â0.001).CONCLUSION:
In geriatric patient with sigmoid volvulus, delayed surgical resection after decompression is associated with reduced cardiac complications and reduced ostomy rate, while increasing overall hospital length of stay and costs.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedades del Sigmoide
/
Colectomía
/
Vólvulo Intestinal
Tipo de estudio:
Guideline
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Am J Surg
Año:
2024
Tipo del documento:
Article
País de afiliación:
Países Bajos