Review of sigmoid volvulus

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Abstract
Sigmoid volvulus has been recognized by physicians and surgeons since ancient times. The need for reducing the twisted bowel has been long understood. Since early times, 2 strategies have existed for treating sigmoid volvulus, nonoperative and operative. By the late 19th Century, both strategies were fully developed and, in the last 100 yr, survival following episodes of sigmoid volvulus has radically improved. In the early 20th Century, this was accomplished by prompt operative intervention. More recently, even better success has been achieved with prompt nonoperative attempts at reduction. At present, the likelihood of a patient''s survival depends primarily upon his condition at the time of hospitalization. Patients treated before strangulation of the sigmoid colon fair well. Those with necrotic sigmoid colons do poorly, regardless of the type of therapy.

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