Ufuk Uylas, Egemen Çiçek, Fatih Sümer, Cüneyt Kayaalp

Division of Gastrointestinal Surgery, İnönü University Faculty of Medicine, Malatya, Türkiye


Sigmoid volvulus is a disease of elderly and debilitated patients. In sigmoid volvulus patients, colonoscopic derotation is the most commonly applied approach as the first line treatment. However, colonoscopic derotation sometimes fail and then urgent surgery is required in these frail patients with high morbidity and mortality. Percutaneous colonic gas decompression has been described to sigmoid volvulus. In case of life-threating increase intraabdominal pressure and as a primary attempt before colonoscopy. However, this technique did not find wide acceptance in the literature. Here, we aimed to present a 78-year-old male with sigmoid volvulus in whom colonoscopic derotation failed and following percutaneous gas decompression, endoscopic derotation could be done successfully. Evacuation of percutaneous colon gas in the sigmoid volvulus may facilitate endoscopic derotation when the first colonoscopic attempt failed.

Keywords: Colorectal, dolichocolon, ileus, bowel obstruction, endoscopy, decompression

Cite this article as: Uylas U, Çiçek E, Sümer F, Kayaalp C. Percutaneous gas decompression can ease endoscopic derotation in sigmoid volvulus. Turk J Surg 2023; 39 (3): 278-280.


Peer Review

Externally peer-reviewed.

Author Contributions

Concept - U.U.; Design - E.Ç.; Supervision - C.K.; Materials - U.U.; Data Collection and/or Processing - E.Ç.; Analysis and/or Interpretation - F.S.; Literature Search - U.U., C.K.; Writing Manuscript - U.U.; Critical Reviews - C.K.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.