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December 1963

Sigmoid Volvulus

Author Affiliations

Formerly Chief Surgical Resident, University of Louisville Hospitals; now Instructor in Surgery, University of Louisville School of Medicine.; From the Department of Surgery, University of Louisville School of Medicine, Louisville General Hospital, and Louisville Veterans Administration Hospital.

Arch Surg. 1963;87(6):1033-1039. doi:10.1001/archsurg.1963.01310180149025

Dissatisfaction with the accepted treatment and mortality rate of volvulus of the sigmoid colon has prompted us to review this condition and present our experience over the past ten years in an effort to evolve the best approach to this problem.

In the United States, sigmoid volvulus is a relatively infrequent but serious cause of intestinal obstruction comprising about 1% to 3% of all intestinal obstructions.1,2,3 Still, at the present time it is the second leading cause of colon obstruction in the United States and the number one cause of strangulation obstruction of the large bowel with a reported mortality of from 14% to 50%.2,4-8 With the known propensity of this entity for the older age group4,9,10 and the increasing number of aged it would seem that sigmoid volvulus will be encountered with increasing frequency. In Eastern Europe and Russia sigmoid volvulus is a major problem and

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