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World J Gastrointest Endosc. Jun 25, 2016; 8(12): 439-443
Published online Jun 25, 2016. doi: 10.4253/wjge.v8.i12.439
Endoscopic management of sigmoid volvulus in children
Filippo Parolini, Paolo Orizio, Anna Lavinia Bulotta, Miguel Garcia Magne, Giovanni Boroni, Gianpaolo Cengia, Fabio Torri, Daniele Alberti
Filippo Parolini, Paolo Orizio, Anna Lavinia Bulotta, Miguel Garcia Magne, Giovanni Boroni, Fabio Torri, Daniele Alberti, Department of Paediatric Surgery, “Spedali Civili” Children’s Hospital, 25123 Brescia, Italy
Gianpaolo Cengia, Unit of Digestive Endoscopy and Gastroenterology, “ASST Garda-Manerbio” Hospital, 25085 Gavardo, Italy
Daniele Alberti, Department of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy
Author contributions: All Authors contributed equally to preparation of the manuscript, reviewed and approved the final manuscript as submitted.
Conflict-of-interest statement: We hereby declare that the following information relevant to this article are true to the best of our knowledge: The above mentioned manuscript has not been published, accepted for publication or under editorial review for publication elsewhere and it won’t be submitted to any other journal while under consideration for publication in your Journal; we have no financial relationship relevant to this article to disclose; there isn’t any conflict of interest relevant to this article; all authors participated in the concept and design, analysis and interpretation of data, drafting and revising the manuscript, and they have approved the manuscript as submitted.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Filippo Parolini, MD, Department of Paediatric Surgery, “Spedali Civili” Children’s Hospital, Piazzale Spedali Civili 1, 25123 Brescia, Italy. parfil@hotmail.it
Telephone: +39-03-03996201 Fax: +39-03-03996154
Received: March 10, 2016
Peer-review started: March 15, 2016
First decision: March 25, 2016
Revised: April 19, 2016
Accepted: May 17, 2016
Article in press: May 27, 2016
Published online: June 25, 2016
Abstract

Sigmoid volvulus (SV) is extremely uncommon in children and is usually associated with a long-standing history of constipation or pseudo-obstruction. An early diagnosis and management are crucial in order to prevent the appearance of hemorrhagic infarction of the twisted loop, avoiding further complications such as necrosis, perforation and sepsis. In patients with no evidence of peritonitis or ischemic bowel, treatment starts with resuscitation and detorsion of the SV, accomplished by means of sigmoidoscopy and concomitant rectal tube placement. The bowel is then prepared and surgery is undertaken electively during the same hospitalization. We report a detailed review of the literature focusing on technical details, risks and benefits of endoscopic management of SV in childhood.

Keywords: Sigmoid volvulus, Contrast enema, Children, Endoscopy, Surgery

Core tip: Authors provide a detailed review of the literature focusing on technical details, risks and benefits of endoscopic management of sigmoid volvulus in children.