{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T09:03:20Z","timestamp":1784883800243,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,9,11]],"date-time":"2015-09-11T00:00:00Z","timestamp":1441929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The best form of prophylactic management of a decompressed sigmoid volvulus (<jats:styled-content style=\"fixed-case\">SV<\/jats:styled-content>) is controversial especially in the elderly. We have studied our experience with this condition to assess the short\u2010 and long\u2010term results of <jats:styled-content style=\"fixed-case\">SV<\/jats:styled-content> management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>All patients treated for <jats:styled-content style=\"fixed-case\">SV<\/jats:styled-content> in our department between 2003 and 2013 were retrospectively included. Emergency decompression was attempted in all patients in whom there was no sign of peritonitis. Planned surgical resection was the procedure of choice in young patients. Percutaneous endoscopic colopexy (<jats:styled-content style=\"fixed-case\">PEC<\/jats:styled-content>) was used in high surgical risk patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 65 patients (45 males) of median age 71.5 (24\u201399)\u00a0years. Non\u2010surgical reduction was performed in 62 with a success rate of 95% (59\/62). Recurrence after initial decompression was 67% at a median follow\u2010up of 5 (1\u201314)\u00a0years. A prophylactic surgical resection was performed with primary anastomosis in 33 patients. There were no deaths and the major morbidity rate was 6%. At a mean follow\u2010up of 62\u00a0months, only 1 (3%) patient had had a recurrence (at 130\u00a0months). <jats:styled-content style=\"fixed-case\">PEC<\/jats:styled-content> was performed in six patients of median age 90 (84\u201399)\u00a0years and with a median American Society of Anesthesiologists score of 4. Complications included local site infection (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>2), pain (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>1) and abdominal wall bleeding (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>1). After a median follow\u2010up of 2 (1\u20134)\u00a0years, three patients died from medical causes and one recurrence occurred 13\u00a0months after removal of the <jats:styled-content style=\"fixed-case\">PEC<\/jats:styled-content> tube.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Prophylactic treatment after initial decompression of <jats:styled-content style=\"fixed-case\">SV<\/jats:styled-content> results in a low rate of recurrence. Planned sigmoid resection is safe and effective. In frail elderly patients, <jats:styled-content style=\"fixed-case\">PEC<\/jats:styled-content> is satisfactory.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12959","type":"journal-article","created":{"date-parts":[[2015,3,25]],"date-time":"2015-03-25T08:12:14Z","timestamp":1427271134000},"page":"922-928","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":61,"title":["Management of acute sigmoid volvulus: short\u2010 and long\u2010term results"],"prefix":"10.1111","volume":"17","author":[{"given":"M.","family":"Bruzzi","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery H\u00f4pital Saint\u2010Antoine Assistance\u2010Publique\/H\u00f4pitaux de Paris Universit\u00e9 Pierre et Marie Curie, Paris VI Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. H.","family":"Lef\u00e8vre","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery H\u00f4pital Saint\u2010Antoine Assistance\u2010Publique\/H\u00f4pitaux de Paris Universit\u00e9 Pierre et Marie Curie, Paris VI Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Desaint","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Endoscopy H\u00f4pital Saint\u2010Antoine Assistance\u2010Publique\/H\u00f4pitaux de Paris Universit\u00e9 Pierre et Marie Curie, Paris VI Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Nion\u2010Larmurier","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Endoscopy H\u00f4pital Saint\u2010Antoine Assistance\u2010Publique\/H\u00f4pitaux de Paris Universit\u00e9 Pierre et Marie Curie, Paris VI Paris 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