{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T14:53:47Z","timestamp":1768316027478,"version":"3.49.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[1977,8,1]],"date-time":"1977-08-01T00:00:00Z","timestamp":239241600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1977,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The clinical presentation and treatment of 31 consecutive patients with sigmoid volvulus are reviewed. Nearly half of these patients had a history of mental illness and one-third of all patients were chronically constipated. The main clinical features of abdominal pain and gross abdominal distension had been present for an average of 8 days before presentation of the patient to hospital. The clinical diagnosis of sigmoid volvulus was not difficult but the presence of non-viable bowel was more difficult to establish. A silent abdomen was the most valuable indication of the presence of gangrenous bowel.<\/jats:p>\n               <jats:p>Conservative measures, including sigmoidoscopy and therapeutic barium enema, successfully reduced the volvulus in half of the cases so treated.<\/jats:p>\n               <jats:p>In those patients undergoing surgery the procedure associated with the lowest mortality was sigmoid resection with end-to-end anastomosis. The overall mortality was 35 per cent.<\/jats:p>","DOI":"10.1002\/bjs.1800640817","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T16:19:04Z","timestamp":1172852344000},"page":"587-589","source":"Crossref","is-referenced-by-count":18,"title":["Volvulus of the sigmoid colon"],"prefix":"10.1093","volume":"64","author":[{"given":"George A","family":"Khoury","sequence":"first","affiliation":[{"name":"St George's Hospital , London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Pickard","sequence":"additional","affiliation":[{"name":"St George's Hospital , London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Knight","sequence":"additional","affiliation":[{"name":"St George's Hospital , London"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1977,8,1]]},"reference":[{"key":"2024101717571868500_bib1","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1097\/00000658-197305000-00004","article-title":"Volvulus of the sigmoid colon","volume":"177","author":"Arnold","year":"1973","journal-title":"Ann. Surg."},{"key":"2024101717571868500_bib2","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1002\/bjs.18004418413","article-title":"The management of volvulus of the sigmoid colon","volume":"44","author":"Bolt","year":"1956","journal-title":"Br. J. Surg."},{"key":"2024101717571868500_bib3","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/0002-9610(61)90655-9","article-title":"Acute sigmoid volvulus: concepts in surgical treatment","volume":"101","author":"Drapanas","year":"1961","journal-title":"Am. J. Surg."},{"key":"2024101717571868500_bib4","first-page":"544","article-title":"The conservative treatment of the acute form of sigmoid volvulus","volume":"31","author":"Isaacson","year":"1952","journal-title":"Surgery"},{"key":"2024101717571868500_bib5","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1001\/archsurg.1969.01340140087013","article-title":"Volvulus of the colon","volume":"99","author":"Kerry","year":"1969","journal-title":"Arch. Surg."},{"key":"2024101717571868500_bib6","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1136\/bmj.1.5587.280","article-title":"Treatment of volvulus of sigmoid colon: a review of 425 cases","volume":"1","author":"Shepherd","year":"1968","journal-title":"Br. Med. J."},{"key":"2024101717571868500_bib7","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/0002-9610(71)90207-8","article-title":"Sigmoid volvulus. An examination of the mortality","volume":"121","author":"String","year":"1971","journal-title":"Am. J. Surg."},{"key":"2024101717571868500_bib8","first-page":"84","article-title":"An appraisal of the operative and non-operative treatment of sigmoid volvulus","volume":"122","author":"Wuepper","year":"1966","journal-title":"Surg. Gynecol. Obstet."}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800640817","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/64\/8\/587\/59834213\/bjs1800640817.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/64\/8\/587\/59834213\/bjs1800640817.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T18:30:45Z","timestamp":1729189845000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/64\/8\/587\/6193566"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1977,8,1]]},"references-count":8,"journal-issue":{"issue":"8","published-online":{"date-parts":[[1977,8,1]]},"published-print":{"date-parts":[[1977,8,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800640817","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1977,8]]},"published":{"date-parts":[[1977,8,1]]}}}