Resection is the most common treatment choice for sigmoid volvulus, a common complication in our region. A new minimally invasive technique for sigmoid resection with local anesthesia was done in this study. This method is invented to avoid general on regional anesthesia in high-risk patients. Nineteen patients were evaluated and then 14 were enrolled in this study. Sigmoidectomy with a left lo...

Sigmoid volvulus is common in some developing countries. We describe a new method of decompression using a Urograffin and saline enema with additional extra-abdominal manual massage.

A case is presented of an ileosigmoid knot in a 70 year old man. A strangulated loop of ileum was wrapped around the neck of a sigmoid volvulus. Following small bowel resection and sigmoid colectomy with colostomy, the patient made an uneventful recovery.

INTRODUCTION Acute mechanical intestinal obstruction (IO) is one of the leading causes of surgical admissions in most emergency departments worldwide. The causes of IO vary significantly depending on geographical location. The aim of this study was to identify the etiology, management and outcomes of patients with acute mechanical IO presenting in south-western Kenya. METHODS A 4 year (Novemb...

BACKGROUND AND AIM Percutaneous endoscopic colostomy provides an alternative management option for patients with recurrent sigmoid volvulus who are considered too high risk to undergo surgery. We reviewed the literature to assess whether the National Institute for Health and Clinical Excellence guidelines published in 2006 supporting the use of percutaneous endoscopic colostomy are still valid....