Endoscopic-Assisted Percutaneous Sigmoidopexy: New Highlights on Technique and Outcomes

Abstract

Background

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

Data Sharing Statement

All data generated or analyzed during this study are included in this article.

Ethics Approval and Informed Consent

Ethical approval has been waived by the local IRB committee (Jordan university of science and technology committee), because of the retrospective nature of the case report. The study participant has given consent to participate in this study.

Consent for Publication

The study participant has given consent to participate as well as consent to publish the data represented in this manuscript.

Disclosure

The authors declare no conflicts of interest related to this work.

Additional information

Funding

The authors declare that no funds, grants, or other supports were received during the preparation of this manuscript.