{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:42:38Z","timestamp":1790232158015,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,6,3]],"date-time":"2018-06-03T00:00:00Z","timestamp":1527984000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005754","name":"Sahlgrenska Universitetssjukhuset","doi-asserted-by":"publisher","award":["ALFGBG\u2010493341"],"award-info":[{"award-number":["ALFGBG\u2010493341"]}],"id":[{"id":"10.13039\/501100005754","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005754","name":"Sahlgrenska Universitetssjukhuset","doi-asserted-by":"publisher","award":["ALFGBG\u2010426501"],"award-info":[{"award-number":["ALFGBG\u2010426501"]}],"id":[{"id":"10.13039\/501100005754","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Sigmoid volvulus is a condition with a tendency to recur if treated conservatively. Little is known about the best type of treatment or when to perform definitive surgery. The aim of this study was to review treatment, and assess the outcome, of sigmoid volvulus in adult patients treated at a Swedish university hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The medical records of patients treated for sigmoid volvulus at Sahlgrenska University Hospital, Sweden from January 2000 to September 2016 were reviewed retrospectively. Median follow\u2010up time was 8.3\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and sixty\u2010eight patients were included with a total of 453 admissions for sigmoid volvulus. Nonoperative decompression was attempted as the initial treatment in 438\/453 (97%), with a success rate of 92% (403\/438), which was not influenced by whether it was the first episode or a recurrence. Without planned surgery, recurrence occurred after 84% of successful nonoperative decompressions with a median of two recurrences (1\u201316). Recurrence was less common after the first episode compared with subsequent episodes. Median time until recurrence was 58\u00a0days. Mortality after planned surgery following successful decompression was 3.3% (2\/61) compared with 13% (6\/46) following emergency surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our cohort, the recurrence rate of sigmoid volvulus following successful nonoperative decompression was high. Still, more than 20% of patients did not experience a recurrence after their first episode. Nonoperative decompression could thus be suggested as the sole treatment for the first episode of volvulus. However, after the second episode it is probable that early planned surgery would improve outcome and reduce health\u2010care consumption.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13972","type":"journal-article","created":{"date-parts":[[2017,11,25]],"date-time":"2017-11-25T15:56:50Z","timestamp":1511625410000},"page":"529-535","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["Risk of recurrence of sigmoid volvulus: a single\u2010centre cohort study"],"prefix":"10.1111","volume":"20","author":[{"given":"N.","family":"Johansson","sequence":"first","affiliation":[{"name":"Department of Surgery Institute of Clinical Sciences Sahlgrenska Academy at University of Gothenburg Sahlgrenska University Hospital\/\u00d6stra Gothenburg Sweden"},{"name":"SSORG \u2013 Scandinavian Surgical Outcomes Research Group Sahlgrenska Academy at University of Gothenburg Sahlgrenska University Hospital\/\u00d6stra Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Rosemar","sequence":"additional","affiliation":[{"name":"Department of Surgery Institute of Clinical Sciences Sahlgrenska Academy at University of Gothenburg Sahlgrenska University Hospital\/\u00d6stra Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9966-4904","authenticated-orcid":false,"given":"E.","family":"Angenete","sequence":"additional","affiliation":[{"name":"Department of Surgery Institute of Clinical Sciences Sahlgrenska Academy at University of Gothenburg Sahlgrenska University Hospital\/\u00d6stra Gothenburg Sweden"},{"name":"SSORG \u2013 Scandinavian Surgical Outcomes Research Group Sahlgrenska Academy at University of Gothenburg Sahlgrenska University Hospital\/\u00d6stra Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198507000-00014"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31828c88ac"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195801000-00005"},{"key":"e_1_2_9_5_1","first-page":"651","article-title":"Mechanical intestinal obstructions; a study of 1,252 cases","volume":"100","author":"Smith GA","year":"1955","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.3741.546-a"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02563694"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12959"},{"key":"e_1_2_9_9_1","first-page":"A4660","article-title":"Elective surgery after successful endoscopic decompression of sigmoid volvulus may be considered","volume":"60","author":"Hougaard HT","year":"2013","journal-title":"Dan Med J"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i48.18384"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588409X391776"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-013-1019-6"},{"key":"e_1_2_9_13_1","first-page":"203","article-title":"A study of large\u2010bowel volvulus in urban Australia","volume":"49","author":"Lau KC","year":"2006","journal-title":"Can J Surg"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2012.06182.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000602"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1329535"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1999.01034.x"},{"key":"e_1_2_9_18_1","first-page":"354","article-title":"Optimal interval from decompression to semi\u2010elective operation in sigmoid volvulus","volume":"53","author":"Tsai MS","year":"2006","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0821-x"},{"key":"e_1_2_9_20_1","first-page":"244","article-title":"The role of sigmoidoscopy in thediagnosis and treatment of sigmoid volvulus","volume":"32","author":"Atamanalp SS","year":"2016","journal-title":"Pak J Med Sci"},{"key":"e_1_2_9_21_1","first-page":"227","article-title":"Elective treatment of detorsioned sigmoid volvulus","volume":"38","author":"Atamanalp SS","year":"2008","journal-title":"Turk J Med Sci"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(86)90014-0"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.13972","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.13972","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T13:19:07Z","timestamp":1695475147000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.13972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1111\/codi.13972"],"URL":"https:\/\/doi.org\/10.1111\/codi.13972","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6]]},"assertion":[{"value":"2017-08-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-10-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}