Younger age (≤ 65 years) and severe colonic dilatation (≥ 85 mm) were associated with endoscopic decompression failure, while severe colonic dilatation (≥ 85 mm) and marked longitudinal elongation (≥ 230 mm) were independently related to recurrence. These findings may guide early surgical consultation for high-risk sigmoid volvulus patients and subsequent resection planning after successful decompression.
Choi et al. (Sat,) studied this question.