{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T16:13:33Z","timestamp":1768320813166,"version":"3.49.0"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1991,1,1]],"date-time":"1991-01-01T00:00:00Z","timestamp":662688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1991,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Forty\u2010one consecutive patients with acute sigmoid volvulus were prospectively randomized into 2\u00a0groups to compare percutaneous deflation prior to emergency tube decompression followed electively by colopexy with banding (n=20) versus emergency tube decompression followed electively by sigmoid colectomy (n=21). Of 21 patients subjected to tube decompression, the procedure was successful in 15 (71%). Emergency sigmoid colectomy was done in the remaining 6 patients and 3 of them died postoperatively. Percutaneous deflation enabled all patients (n=20) to have successful tube decompression without complications. Two of the patients (13%) who underwent elective sigmoid colectomy died postoperatively and another 2 developed wound infections, whereas colopexy by banding caused no mortality and only 1 patient (5%) developed a wound infection. Disconnection of the intravenous line, consumption of solid food, and discharge from the hospital were each effected at significantly<\/jats:bold> (<jats:bold><jats:italic>p<\/jats:italic><\/jats:bold> &lt;<jats:bold>0.001) earlier postoperative times with colopexy than with sigmoid colectomy. Both of these elective procedures were equally effective in preventing recurrence of the volvulus. During 1 year of follow\u2010up, colopexy was not observed to cause any abdominal pain or alteration in bowel habits<\/jats:bold>.<\/jats:p><jats:p><jats:bold>This study shows that percutaneous deflation of acute sigmoid volvulus is a rapid and safe method which enables successful sigmoidoscopic decompression with avoidance of emergency surgery and its high mortality rates. The study also shows that colopexy by banding is a simple elective procedure which overcomes the limitations of mesenteropexy and resectional surgery<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01658966","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T18:16:37Z","timestamp":1115576197000},"page":"68-72","source":"Crossref","is-referenced-by-count":16,"title":["Management of acute volvulus of the sigmoid colon: A new approach by percutaneous deflation and colopexy"],"prefix":"10.1002","volume":"15","author":[{"given":"Aws S.","family":"Salim","sequence":"first","affiliation":[{"name":"University Department of Surgery Medical City Baghdad Iraq"},{"name":"Department of Surgery Ward 6 Stobhill General Hospital G21 3 UW Glasgow Scotland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1991,1]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01656413"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1969.01340140087013"},{"key":"e_1_2_1_4_1","first-page":"84","article-title":"An appraisal of the operative and non\u2010operative treatment of sigmoid volvulus","volume":"125","author":"Weupper K.D.","year":"1966","journal-title":"Surg. 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