Clinical and Experimental Gastroenterology (Feb 2024)
Endoscopic-Assisted Percutaneous Sigmoidopexy: New Highlights on Technique and Outcomes
Abstract
Abdel Rahman A Al Manasra,1 Tarik Alhmoud,2 Zaid Mesmar,1 Ahmad Hamaydeh1 1Department of General Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan; 2Department of Internal Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, JordanCorrespondence: Abdel Rahman A Al Manasra, Department of General Surgery and Urology, Jordan University of Science and Technology, Faculty of Medicine, P.O. Box 3030, Irbid, Jordan, Tel +962 796453510, Email [email protected]: Sigmoid volvulus is primarily a disease of the elderly.Case Presentation: We describe a case of recurrent sigmoid volvulus in an elderly woman who refused surgery due to the high risk posed by general anesthesia and surgical intervention. She underwent endoscopic-assisted percutaneous sigmoidopexy using only three 2-shot anchor sets. No radiographic observation was necessary during the procedure. Some puncture sites were secured using endoscopic clips.Conclusion: Endoscopic-assisted percutaneous sigmoidopexy is increasingly used as an effective alternative to surgical sigmoidopexy when surgery under general anesthesia poses a high risk. Despite clinical improvement and resolution of the recurrent volvulus, after sigmoidopexy patients may continue to experience motility dysfunction and diffuse dilation of the colon for a few weeks, which may correlate with the episodes of obstruction experienced prior to fixation.Keywords: sigmoidopexy, volvulus, percutaneous, anchor suture
