Chapter 12
Sigmoid Volvulus: Current Management
- By Kumar Hari Rajah - 03 Apr 2026
- Applied Healthcare Science, Volume: 1, Pages: 89 - 93
Abstract/Preface
Sigmoid volvulus is an uncommon etiology of acute intestinal obstruction predominantly observed in elderly individuals, characterized clinically by abdominal pain and distension. Diagnosis is typically established through abdominal radiography or computed tomography, which reveals the distinctive features of sigmoid volvulus. Management strategies for sigmoid volvulus are categorized into endoscopic and surgical interventions. Endoscopic management involves endoscopic detorsion, although it is associated with a high rate of recurrence. Surgical management entails either sigmoid resection with anastomosis or Hartmann’s procedure, with the choice of procedure contingent upon whether the volvulus is complicated or uncomplicated. This chapter will explore the management of sigmoid volvulus, focusing on the role of endoscopic detorsion and surgical approaches, including sigmoid resection with anastomosis and Hartmann’s procedure.