The management of sigmoid volvulus

J R Coll Surg Edinb. 2000 Apr;45(2):74-80.


The epidemiology and clinical pattern of sigmoid volvulus are well defined. Although clinical manifestations of acute volvulus are often clear-cut, diagnostic doubt is not uncommon and, if gangrene supervenes, mortality rises appreciably. While gangrene requires resectional surgery, the management of the viable colon related to a volvulus episode has a variety of options. These, particularly non-resectional alternatives, require more critical reappraisal in the light of advances in minimally invasive techniques.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Algorithms
  • Anastomosis, Surgical
  • Colostomy
  • Gangrene / surgery
  • Humans
  • Intestinal Obstruction / diagnosis
  • Intestinal Obstruction / surgery*
  • Minimally Invasive Surgical Procedures
  • Sigmoid Diseases / diagnosis
  • Sigmoid Diseases / surgery*
  • Sigmoidoscopy