This retrospective cohort study identifies factors for decompression failure in high-risk sigmoid volvulus, suggesting early surgery.
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.
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Choi et al. (2026) studied this question.
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