{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:43:54Z","timestamp":1790232234756,"version":"4.1.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T00:00:00Z","timestamp":1642118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T00:00:00Z","timestamp":1642118400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universitat de Valencia"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Langenbecks Arch Surg"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To analyze the treatment outcomes for sigmoid volvulus (SV) and identify risk factors of complications and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Observational study of all consecutive adult patients diagnosed with SV who were admitted from January 2000 to December 2020 in a tertiary university institution for conservative management, urgent or elective surgery. Primary outcomes were 30-day postoperative morbidity, mortality and 2-year overall survival (OS), including analysis of risk factors for postoperative morbidity or mortality and prognostic factors for 2-year OS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 92 patients were included. Conservative management was performed in 43 cases (46.7%), 27 patients (29.4%) underwent emergent surgery and 22 (23.9%) were scheduled for elective surgery. Successful decompression was achieved in 87.8% of cases, but the recurrence rate was 47.2%. Mortality rates following episodes were higher for conservative treatment than for urgent or elective surgery (37.2%, 22.2%, 9.1%, respectively;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.044). ASA score\u2009&gt;\u2009III was an independent risk factor for complications (OR\u2009=\u20095.570, 95% CI\u2009=\u20091.740\u201317.829,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and mortality (OR\u2009=\u20096.139, 95% CI\u2009=\u20092.629\u201314.335,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) in the 30\u00a0days after admission. Patients who underwent elective surgery showed higher 2-year OS than those with conservative treatment (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011). Elective surgery (HR\u2009=\u20092.604, 95% CI\u2009=\u20091.185\u20135.714,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017) and ASA score\u2009&gt;\u2009III (HR\u2009=\u20090.351, 95% CI\u2009=\u20090.192\u20130.641,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) were independent prognostic factors for 2-year OS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Successful endoscopic decompression can be achieved in most SV patients, but with the drawbacks of high recurrence, morbidity and mortality rates. Concurrent severe comorbidities and conservative treatment were independent prognostic factors for morbidity and survival in SV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00423-022-02428-5","type":"journal-article","created":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T00:38:21Z","timestamp":1642120701000},"page":"1161-1171","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Sigmoid volvulus: outcomes of treatment and predictors of morbidity and mortality"],"prefix":"10.1007","volume":"407","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0425-8677","authenticated-orcid":false,"given":"David","family":"Moro-Valdezate","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Mart\u00edn-Ar\u00e9valo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicente","family":"Pla-Mart\u00ed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Garc\u00eda-Botello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Izquierdo-Moreno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leticia","family":"P\u00e9rez-Santiago","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge Manuel","family":"Pedr\u00f3s-Gim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosana","family":"Villagrasa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s","family":"Pe\u00f1a","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Esp\u00ed-Mac\u00edas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,14]]},"reference":[{"issue":"2","key":"2428_CR1","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1097\/SLA.0b013e31828c88ac","volume":"259","author":"WJ Halabi","year":"2014","unstructured":"Halabi WJ, Jafari MD, Kang CY, Nguyen VQ, Carmichael JC, Mills S et al (2014) Colonic volvulus in the United States: trends, outcomes, and predictors of mortality. Ann Surg 259(2):293\u2013301","journal-title":"Ann Surg"},{"issue":"1","key":"2428_CR2","first-page":"83","volume":"202","author":"GH Ballantyne","year":"1985","unstructured":"Ballantyne GH, Brandner MD, Beart RW Jr, Ilstrup DM (1985) Volvulus of the colon. Incidence and mortality. Ann Surg 202(1):83\u201392","journal-title":"Incidence and mortality Ann Surg"},{"issue":"12","key":"2428_CR3","doi-asserted-by":"publisher","first-page":"1445","DOI":"10.1111\/codi.14747","volume":"21","author":"AR Althans","year":"2019","unstructured":"Althans AR, Aiello A, Steele SR, Bhama AR (2019) Colectomy for caecal and sigmoid volvulus: a national analysis of outcomes and risk factors for postoperative complications. Colorectal Dis 21(12):1445\u20131452","journal-title":"Colorectal Dis"},{"issue":"3","key":"2428_CR4","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1016\/j.jviscsurg.2016.03.006","volume":"153","author":"L Perrot","year":"2016","unstructured":"Perrot L, Fohlen A, Alves A, Lubrano J (2016) Management of the colonic volvulus in 2016. J Visc Surg 153(3):183\u2013192","journal-title":"J Visc Surg"},{"issue":"4","key":"2428_CR5","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1007\/s10350-006-0821-x","volume":"50","author":"D Oren","year":"2007","unstructured":"Oren D, Atamanalp SS, Aydinly B, Yildirgan MI, Basoglu M, Polat KY et al (2007) An algorithm for the management of sigmoid colon volvulus and the safety of primary resection: experience with 827 cases. Dis Colon Rectum 50(4):489\u2013497","journal-title":"Dis Colon Rectum"},{"issue":"7","key":"2428_CR6","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1097\/DCR.0000000000000602","volume":"59","author":"JD Vogel","year":"2016","unstructured":"Vogel JD, Feingold DL, Stewart DB, Turner JS, Boutros M, Chun J et al (2016) Clinical practice guidelines for colon volvulus and acute colonic pseudo-obstruction. Dis Colon Rectum 59(7):589\u2013600","journal-title":"Dis Colon Rectum"},{"issue":"2","key":"2428_CR7","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1016\/j.gie.2019.09.007","volume":"91","author":"M Naveed","year":"2020","unstructured":"Naveed M, Jamil LH, Fujii-Lau LL, Al-Haddad M, Buxbaum JL, Fishman DS et al (2020) American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus. Gastrointest Endosc 91(2):228\u2013235","journal-title":"Gastrointest Endosc"},{"issue":"4","key":"2428_CR8","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1097\/DCR.0b013e3182404b3d","volume":"55","author":"BR Swenson","year":"2012","unstructured":"Swenson BR, Kwaan MR, Burkart NE, Wang Y, Madoff RD, Rothenberger DA et al (2012) Colonic volvulus: presentation and management in Metropolitan Minnesota. United States Dis Colon Rectum 55(4):444\u2013449","journal-title":"United States Dis Colon Rectum"},{"issue":"5","key":"2428_CR9","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","volume":"40","author":"ME Charlson","year":"1987","unstructured":"Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40(5):373\u2013383","journal-title":"J Chronic Dis"},{"issue":"11","key":"2428_CR10","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.1111\/codi.13898","volume":"19","author":"SS Atamanalp","year":"2017","unstructured":"Atamanalp SS (2017) A new classification, treatment algorithm and prognosis-estimating system for sigmoid volvulus. Colorectal Dis 19(11):1033\u20131035","journal-title":"Colorectal Dis"},{"issue":"3","key":"2428_CR11","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1016\/j.dld.2018.10.003","volume":"51","author":"L Qu\u00e9n\u00e9herv\u00e9","year":"2019","unstructured":"Qu\u00e9n\u00e9herv\u00e9 L, Dagouat C, Le Rhun M, P\u00e9rez-Cuadrado Robles E, Duchalais E, Bruley des Varannes S (2019) Outcomes of first-line endoscopic management for patients with sigmoid volvulus. Dig Liver Dis 51(3):386\u201390","journal-title":"Dig Liver Dis"},{"issue":"10","key":"2428_CR12","doi-asserted-by":"publisher","first-page":"1841","DOI":"10.1007\/s00384-020-03526-w","volume":"35","author":"EM Kim","year":"2020","unstructured":"Kim EM, Kang BM, Kim BC, Kim JY, Park JH, Oh BY et al (2020) Clinical outcomes of sigmoid volvulus and risk factors for its recurrence: a multicenter study in Korea. Int J Colorectal Dis 35(10):1841\u20131847","journal-title":"Int J Colorectal Dis"},{"issue":"3","key":"2428_CR13","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1007\/s00384-009-0792-1","volume":"25","author":"A Jangjoo","year":"2010","unstructured":"Jangjoo A, Soltani E, Fazelifar S, Saremi E, Afzal AM (2010) Proper management of sigmoid colon volvulus: our experience with 75 cases. Int J Colorectal Dis 25(3):407\u2013409","journal-title":"Int J Colorectal Dis"},{"issue":"2","key":"2428_CR14","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1007\/s00384-003-0534-8","volume":"19","author":"BNS Bhatnagar","year":"2004","unstructured":"Bhatnagar BNS, Sharma CLN, Gautam A, Kakar A, Reddy DCS (2004) Gangrenous sigmoid volvulus: a clinical study of 76 patients. Int J Colorectal Dis 19(2):134\u2013142","journal-title":"Int J Colorectal Dis"},{"issue":"6","key":"2428_CR15","doi-asserted-by":"publisher","first-page":"1221","DOI":"10.1007\/s00384-021-03864-3","volume":"36","author":"A Surek","year":"2021","unstructured":"Surek A, Akarsu C, Gemici E, Ferahman S, Dural AC, Bozkurt MA et al (2021) Risk factors affecting failure of colonoscopic detorsion for sigmoid colon volvulus: a single center experience. Int J Colorectal Dis 36(6):1221\u20131229","journal-title":"Int J Colorectal Dis"},{"issue":"6","key":"2428_CR16","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1111\/codi.13972","volume":"20","author":"N Johansson","year":"2018","unstructured":"Johansson N, Rosemar A, Angenete E (2018) Risk of recurrence of sigmoid volvulus: a single-centre cohort study. Colorectal Dis 20(6):529\u2013535","journal-title":"Colorectal Dis"},{"issue":"48","key":"2428_CR17","doi-asserted-by":"publisher","first-page":"18384","DOI":"10.3748\/wjg.v20.i48.18384","volume":"20","author":"AKW Ifversen","year":"2014","unstructured":"Ifversen AKW, Kjaer DW (2014) More patients should undergo surgery after sigmoid volvulus. World J Gastroenterol 20(48):18384\u201318389","journal-title":"World J Gastroenterol"},{"issue":"4","key":"2428_CR18","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1007\/s10151-012-0953-z","volume":"17","author":"SS Atamanalp","year":"2013","unstructured":"Atamanalp SS (2013) Sigmoid volvulus: diagnosis in 938 patients over 45.5 years. Tech Coloproctol 17(4):419\u201324","journal-title":"Tech Coloproctol"},{"issue":"7","key":"2428_CR19","doi-asserted-by":"publisher","first-page":"E737","DOI":"10.1055\/s-0042-106957","volume":"4","author":"L Frank","year":"2016","unstructured":"Frank L, Moran A, Beaton C (2016) Use of percutaneous endoscopic colostomy (PEC) to treat sigmoid volvulus: a systematic review. Endosc Int Open 4(7):E737\u2013E741","journal-title":"Endosc Int Open"},{"issue":"4","key":"2428_CR20","doi-asserted-by":"publisher","first-page":"239","DOI":"10.4321\/S1130-01082010000400004","volume":"102","author":"C Mulas","year":"2010","unstructured":"Mulas C, Bruna M, Garc\u00eda-Armengol J, Roig JV (2010) Management of colonic volvulus. Experience in 75 patients. Rev Esp Enferm Dig 102(4):239\u201348","journal-title":"Rev Esp Enferm Dig"},{"key":"2428_CR21","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/j.jss.2019.07.038","volume":"245","author":"A Easterday","year":"2020","unstructured":"Easterday A, Aurit S, Driessen R, Person A, Krishnamurty DM (2020) Perioperative outcomes and predictors of mortality after surgery for sigmoid volvulus. J Surg Res 245:119\u2013126","journal-title":"J Surg Res"},{"issue":"8","key":"2428_CR22","doi-asserted-by":"publisher","first-page":"1404","DOI":"10.1007\/s11605-018-3747-4","volume":"22","author":"SC Dolejs","year":"2018","unstructured":"Dolejs SC, Guzman MJ, Fajardo AD, Holcomb BK, Robb BW, Waters JA (2018) Contemporary management of sigmoid volvulus. J Gastrointest Surg 22(8):1404\u20131411","journal-title":"J Gastrointest Surg"},{"issue":"5","key":"2428_CR23","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1097\/DCR.0000000000000340","volume":"58","author":"KR Kasten","year":"2015","unstructured":"Kasten KR, Marcello PW, Roberts PL, Read TE, Schoetz DJ, Hall JF et al (2015) What are the results of colonic volvulus surgery? Dis Colon Rectum 58(5):502\u2013507","journal-title":"Dis Colon Rectum"}],"container-title":["Langenbeck's Archives of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-022-02428-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00423-022-02428-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-022-02428-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T02:05:37Z","timestamp":1653876337000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00423-022-02428-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,14]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["2428"],"URL":"https:\/\/doi.org\/10.1007\/s00423-022-02428-5","relation":{},"ISSN":["1435-2451"],"issn-type":[{"value":"1435-2451","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,14]]},"assertion":[{"value":"9 September 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 December 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 January 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the local Research Ethics Committee.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}