Korean J Gastrointest Endosc > Volume 33(2); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(2): 105-109.
응급 대장 내시경술로 치료한 S상 결장 염전증 2예
김진만·이상용·김봉갑·황종호·권효준·최홍석·장수민·이재남·이상호
지방공사 부산의료원 내과
Two Cases of Sigmoid Volvulus Treated by Emergency Colonoscopic Reduction Procedure
Jin Man Kim, M.D., Sang Yong Lee, M.D., Bong Gap Kim, M.D., Jong Ho Hwang, M.D., Hyo June Kwon, M.D., Hong Suk Choi, M.D., Su Min Jang, M.D., Jae Nam Lee, M.D. and Sang Ho Lee, M.D.
Department of Internal Medicine, Busan Medical Center, Busan, Korea
Abstract
A volvulus of the colon is a twisting of a redundant segment of the colon at its narrow mesentery. A sigmoid volvulus is the most common type. This disorder may spontaneously reduce and recur as a chronic problem. However, it more frequently becomes acute as a result of an obstruction, which can lead to strangulation and gangrene with a high mortality if not treated promptly. Colonoscopic reduction and decompression is the preferred initial treatment for patients with a sigmoid volvulus who show no signs of bowel strangulation, which may be the cause of the high mortality associated with emergency surgery. We experienced 2 cases of a sigmoid volvulus in a 44-year-old female and a 51-year-old male. The sigmoid volvulus was diagnosed by simple abdominal film and treated successfully by an emergency colonoscopic reduction. We report our experience on the use of colonoscopy to treat sigmoid volvulus with a reviews of the relevant literlature. (Korean J Gastrointest Endosc 2006;33:105⁣ 109)
Key Words: Sigmoid volvulus, Emergency colonoscopic reduction
주요어: S상 결장 염전, 응급 대장 내시경술
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