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Endoscopy 2022; 54(12): 1205-1210
DOI: 10.1055/a-1831-4177
Innovations and brief communications

Endoscopic sigmoidopexy for recurrent sigmoid volvulus in inoperable patients: a retrospective series of 15 patients

Salome Ouazana    *
1   Hepatogastroenterology Department, University Hospital Centre Reims, Reims, France
2   Sorbonne University, Centre for Digestive Endoscopy, Saint Antoine Hospital, APHP Paris, Paris, France
,
Emmanuel Coron   *
3   Department of Gastroenterology and Hepatology, University Hospital of Geneva, Geneva, Switzerland
4   University of Nantes, INSERM, IMAD, The Enteric Nervous System in Gut and Brain Disorders, Nantes, France
,
Marc Le Rhun
5   Digestive Disease Institute, University Hospital Centre, Nantes, France
,
Marianne Le Rhun
6   Geriatric Department, Erdre et Loire Hospital, Ancenis, France
,
Xavier Dray   **
2   Sorbonne University, Centre for Digestive Endoscopy, Saint Antoine Hospital, APHP Paris, Paris, France
,
Lucille Quénéhervé   **
7   Gastroenterology Department, University and Regional Hospital Centre Brest, Brest, France
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Abstract

Background Recurrent sigmoid volvulus is frequent and sometimes occurs in frail patients with contraindications to surgical sigmoidectomy. Percutaneous endoscopic sigmoidopexy (PES) has recently been proposed as an alternative to elective sigmoidectomy. We aimed to describe the efficacy and safety of PES.

Methods All consecutive patients who underwent PES for recurrent sigmoid volvulus at two French centers between January 2017 and March 2021 were included in this retrospective case series. Recurrent sigmoid volvulus was defined as at least two symptomatic episodes treated by endoscopic decompression. Under endoscopic guidance, anchors were placed to attach the sigmoid to the anterior abdominal wall, allowing the placement of pigtail Chait catheters.

Results 15 patients (60 % female; median age 74 years [range 49–96]) were included. Median number of previous sigmoid volvulus episodes was 3 (range 2–6). Procedures were technically successful with no intraprocedural adverse events for 14 patients (93 %). Peritonitis occurred at Day 2 in one patient (serious adverse event rate 7 %). Median follow-up time was 10 months (range 1–30). No sigmoid volvulus recurrence occurred during follow-up.

Conclusion PES using Chait catheters was feasible and effective for recurrent sigmoid volvulus and should be considered as an alternative to sigmoidectomy in inoperable patients.

* Co-first authors


** Co-senior authors




Publication History

Received: 13 October 2021

Accepted after revision: 21 April 2022

Accepted Manuscript online:
21 April 2022

Article published online:
03 June 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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