CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2024; 16(01): 005-009
DOI: 10.1055/s-0043-1776142
Review Article

Management of Sigmoid Volvulus: A Literature Review

1   Department of General Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey
Esra Disci
1   Department of General Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey
Rifat Peksoz
1   Department of General Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey
Refik Selim Atamanalp
2   Department of Medical Pathology, Prof. Dr. Cemil Taşçıoğlu City Hospital, İstanbul, Turkey
Cansu Tatar Atamanalp
3   Department of Pediatrics, Haseki Education and Research Hospital, İstanbul, Turkey
› Author Affiliations
Funding and Sponsorship None.


Sigmoid volvulus (SV) is a rare form of intestinal obstruction in which the sigmoid colon twists around its own base. Endoscopic detorsion is the primary treatment in uncomplicated patients, while urgent surgery is required in the cases with bowel perforation, peritonitis, and unsuccessful endoscopic detorsion. In surgery, the gangrenous sigmoid colon is managed by resection, whereas sigmoid detorsion alone or with an additional recurrence-reducing procedure is applied in patients with viable bowel. However, the risk of recurrence following endoscopic or operative detorsion alone is as high as 90% with a risk of mortality up to 35%. To prevent or reduce SV recurrence, some selected cases require emergent or elective recurrence-preventive management including sigmoidopexy, mesopexy, mesoplasty, extraperitonealization, sigmoidectomy, and endoscopic percutaneous sigmoidopexy. However, the indications, techniques, and results of the above-mentioned procedures are controversial. In this review, the treatment options of SV and patient selection criteria for recurrence-preventive treatments are discussed.

Authors' Contribution

S.S.A. proposed the study, performed the literature searches, and drafted the manuscript. All the authors reviewed the whole document for intellectual content. All the authors approved the final version of the manuscript.

Compliance with Ethical Principles

No ethical approval is required for this type of study (review article).

Publication History

Article published online:
01 November 2023

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