Endoscopic Decompression, Detorsion, and Reduction of Sigmoid Volvulus

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Presentation transcript:

Endoscopic Decompression, Detorsion, and Reduction of Sigmoid Volvulus Shou-jiang Tang, Ruonan Wu Video Journal and Encyclopedia of GI Endoscopy Volume 2, Issue 1, Pages 20-25 (April 2014) DOI: 10.1016/j.vjgien.2013.10.003 Copyright © 2014 The Authors Terms and Conditions

Figure 1 Plain radiographic image of abdomen showing the markedly distended ahaustral sigmoid loop arising from the left lower quadrant and extending towards the diaphragm, a “coffee bean” or “bent inner tube” sign. Video Journal and Encyclopedia of GI Endoscopy 2014 2, 20-25DOI: (10.1016/j.vjgien.2013.10.003) Copyright © 2014 The Authors Terms and Conditions

Figure 2 Selected images of computed tomography showing spiraled loops of collapsed bowel and mesentery which are twisted around their vascular supply, a “whirl” sign (arrow). Video Journal and Encyclopedia of GI Endoscopy 2014 2, 20-25DOI: (10.1016/j.vjgien.2013.10.003) Copyright © 2014 The Authors Terms and Conditions

Figure 3 Endoscopic image showing the spirally twisted rectal or converging mucosa (a “whirl” sign) at the rectosigmoid junction signifying the distal point of torsional obstruction. Video Journal and Encyclopedia of GI Endoscopy 2014 2, 20-25DOI: (10.1016/j.vjgien.2013.10.003) Copyright © 2014 The Authors Terms and Conditions

Figure 4 Endoscopic image showing dilated colon segment proximal to twisted segment with endoscopic evidence of mucosal ischemia. Video Journal and Encyclopedia of GI Endoscopy 2014 2, 20-25DOI: (10.1016/j.vjgien.2013.10.003) Copyright © 2014 The Authors Terms and Conditions

Figure 5 Image showing a colon decompression drainage tube (white colored) being advanced over the guide wire into the untwisted and decompressed sigmoid colon. Video Journal and Encyclopedia of GI Endoscopy 2014 2, 20-25DOI: (10.1016/j.vjgien.2013.10.003) Copyright © 2014 The Authors Terms and Conditions

Figure 6 Image showing a colon decompression drainage tube (white colored) with a wire guide inside and a long rectal tube (orange colored). Video Journal and Encyclopedia of GI Endoscopy 2014 2, 20-25DOI: (10.1016/j.vjgien.2013.10.003) Copyright © 2014 The Authors Terms and Conditions