Sigmoid volvulus in children: A structured diagnostic and therapeutic approach
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F25%3AE0111850" target="_blank" >RIV/00843989:_____/25:E0111850 - isvavai.cz</a>
Result on the web
<a href="https://doi.org/10.5223/pghn.2025.28.4.224" target="_blank" >https://doi.org/10.5223/pghn.2025.28.4.224</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.5223/pghn.2025.28.4.224" target="_blank" >10.5223/pghn.2025.28.4.224</a>
Alternative languages
Result language
angličtina
Original language name
Sigmoid volvulus in children: A structured diagnostic and therapeutic approach
Original language description
Purpose: Sigmoid volvulus rarely causes bowel obstruction in children. Early diagnosis and treatment are critical for preventing complications such as bowel ischemia and peritonitis. This study aimed to develop a structured diagnostic and treatment algorithm for sigmoid volvulus in pediatric patients. Methods: Two clinical cases of pediatric sigmoid volvulus were reviewed, focusing on the clinical presentation, diagnosis, and surgical treatment. These findings were compared with those in the literature to establish evidence-based recommendations. Results: Sigmoid volvulus should be considered in children who present with abdominal pain and signs of intestinal obstruction. The initial diagnosis can be made using abdominal radiography with computed tomography scans, if necessary. Colonoscopy with endoscopic detorsion of the volvulus is recommended in the absence of peritonitis. Owing to the high risk of recurrence, early resection of the sigmoid colon is recommended. Rectal biopsy is a key component of the diagnostic algorithm as it helps to confirm or exclude Hirschsprung's disease. Acute surgical intervention is indicated in children with clinical signs of peritonitis and/or pneumoperitoneum. Resection of the affected sigmoid bowel with or without primary anastomosis is recommended. Indocyanine green fluorescence imaging is a promising method for objectively evaluating bowel viability when viability is uncertain. Conclusion: The proposed diagnostic and therapeutic algorithm offers a clear approach for managing sigmoid volvuli in pediatric patients.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30212 - Surgery
Result continuities
Project
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Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Pediatric gastroenterology, hepatology & nutrition
ISSN
2234-8646
e-ISSN
2234-8840
Volume of the periodical
28
Issue of the periodical within the volume
4
Country of publishing house
KR - KOREA, REPUBLIC OF
Number of pages
9
Pages from-to
224-232
UT code for WoS article
001533603500003
EID of the result in the Scopus database
2-s2.0-105016643660