Surgical Resection Reduces Sigmoid Volvulus Recurrence

Resection significantly lowers recurrence in sigmoid volvulus but comes with increased mortality risks.

Resection reduced recurrence rates to 12% compared to 69% in non-resection (NNT 6).
Mortality increased by 69% with resection, necessitating careful patient selection (NNH 17).

In non-gangrenous cases, resection prevents recurrence with no significant mortality increase.

Optimizing patient selection and perioperative care is crucial for improved outcomes.

Systematic Review by Jiang X, Guo S and Yang L in Langenbecks Arch Surg

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