Abstract
Sixty-six consecutive patients, admitted to St. Vincent’s Hospital, Melbourne, with sigmoid volvulus, fell into two groups, 60 with-out and six with acquired megacolon. In the former groups, flatus tube decompression was usually successful, and sigmoid resection provided a cure. In the group with megacolon, the history was longer; patients more often had bowel symptoms before or between acute episodes of volvulus; flatus tube decompression was rerely successful; and symptoms persisted after sigmoidectomy and were sometimes associated with recurrence of volvulus of the new “sigmoid.” It seems that nothing less than total colectomy will cure these patients.
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References
Lane RH, Todd IP. Idiopathic megacolon: a review of 42 cases. Br J Surg 1977;64:305–10.
Dyer NH, Dawson AM, Smith BF, Todd IP. Obstruction of bowel due to lesion in the myenteric plexus. Br Med J 1969;1:686–9.
Shepherd JJ. The epidemiology and clinical presentation of sigmoid volvulus. Br J Surg 1969;56:353–9.
Harbrecht PJ, Fry DE. Recurrence of volvulus after sigmoidectomy. Dis Colon Rectum 1979;22:420–4.
Duhamel B. Physio-pathology of the internal anal sphincter. Arch Dis Child 1969;44:377–81.
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Read at the meeting of the American Society of Colon and Rectal Surgcons, Atlanta, Georgia, June 10 to 14, 1979.
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Ryan, P. Sigmoid volvulus with and without megacolon. Dis Colon Rectum 25, 673–679 (1982). https://doi.org/10.1007/BF02629539
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DOI: https://doi.org/10.1007/BF02629539