Percutaneous endoscopic colostomy to treat recurrent sigmoid volvulus in an almost centenary patient.
Rev Esp Enferm Dig
; 113(1): 71-72, 2021 Jan.
Article
in En
| MEDLINE
| ID: mdl-33226254
ABSTRACT
We report the case of a 96-year-old institutionalized male, with severe dementia, who was admitted to our hospital with sigmoid volvulus. After successful decompression, the patient developed recurrent sigmoid volvulus twice within 76 hours, which required endoscopic repositioning. However, after a new recurrence and rejecting surgery, we chose percutaneous endoscopic colostomy, using the standard gastrostomy technique, in order to ï¬x the mobile intestine to the abdominal wall to prevent torsion. Although observational studies with more cases and longer follow-up are needed, percutaneous endoscopic colostomy could be a safe and effective alternative in patients in whom conventional surgery is considered unsafe or inappropriate.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sigmoid Diseases
/
Intestinal Volvulus
Type of study:
Observational_studies
Limits:
Aged80
/
Humans
/
Male
Language:
En
Journal:
Rev Esp Enferm Dig
Journal subject:
GASTROENTEROLOGIA
Year:
2021
Document type:
Article