The management of sigmoid volvulus

The epidemiology and clinical pattern of sigmoid volvulus are well defined, Although clinical manifestations of acute volvulus are often clear-cut, di agnostic doubt is not uncommon and, if gangrene supervenes, mortality rises appreciably, While gangrene requires resectional surgery, the management o f the viable colon related to a volvulus episode has a variety of options. These, particularly non-resectional alternatives, require more critical rea ppraisal in the light of advances in minimally invasive techniques.