Survival outcomes in patients with sigmoid volvulus

This study demonstrates the burden of sigmoid volvulus in an elderly population with significant mortality and morbidity. While survival was better in those undergoing surgery, this likely represents appropriate case selection reflecting underlying frailty and comorbidities in those not offered surgery rather than a protective effect of surgery. While surgery should be considered and documented at index admission, it should not be considered a panacea for the elderly and frail population. WHAT DOES THIS PAPER ADD TO THE LITERATURE?: This study highlights the burden of sigmoid volvulus in an ageing population, emphasising complex management challenges. Non-operative treatments showed high recurrence and poor survival, while surgery yielded excellent outcomes in selected patients. The findings advocate for a cautious, individualised approach, balancing frailty and risks, rather than universal reliance on surgery.

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Publication Details

Journal
International Journal of Colorectal Disease
Published
2025-06-17
DOI
https://doi.org/10.1007/s00384-025-04920-y
Primary Topic
Intestinal Malrotation and Obstruction Disorders
Type
article
Field-Weighted Citation Impact
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article

Survival outcomes in patients with sigmoid volvulus

Mark A. Potter, Malcolm G. Dunlop, D Speake, P G Vaughan-Shaw et al.
International Journal of Colorectal Disease
Intestinal Malrotation and Obstruction Disorders
article

Survival outcomes in patients with sigmoid volvulus

Mark A. Potter, Malcolm G. Dunlop, D Speake, P G Vaughan-Shaw, R Bock, M. J. Duff, Gavin J. D. Smith, Siva Reddy Challa, Farhat V N Din, D. Collins, Nicholas T. Ventham, Hugh Paterson, J Mander, Mhairi Collie, A. J. Clark, S. Goodbrand
article en

Abstract

This study demonstrates the burden of sigmoid volvulus in an elderly population with significant mortality and morbidity. While survival was better in those undergoing surgery, this likely represents appropriate case selection reflecting underlying frailty and comorbidities in those not offered surgery rather than a protective effect of surgery. While surgery should be considered and documented at index admission, it should not be considered a panacea for the elderly and frail population. WHAT DOES THIS PAPER ADD TO THE LITERATURE?: This study highlights the burden of sigmoid volvulus in an ageing population, emphasising complex management challenges. Non-operative treatments showed high recurrence and poor survival, while surgery yielded excellent outcomes in selected patients. The findings advocate for a cautious, individualised approach, balancing frailty and risks, rather than universal reliance on surgery.

International Journal of Colorectal DiseaseVol. 40(1)
Western General Hospital (GB)
Good health and well-being
Openalex Percentile: Top 76%
Intestinal Malrotation and Obstruction Disorders
DOIOpen Access PDFOpenAlex
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