Saudi Journal of Gastroenterology
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LETTER TO THE EDITOR  
Year : 2011  |  Volume : 17  |  Issue : 3  |  Page : 222
Percutaneous endoscopic colostomy: A new technique for the treatment of recurrent sigmoid volvulus


Ronak Endo-Laparoscopy and General Surgical Hospital, Patan, Gujarat, India

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Date of Web Publication4-May-2011
 

How to cite this article:
Yagnik VD. Percutaneous endoscopic colostomy: A new technique for the treatment of recurrent sigmoid volvulus. Saudi J Gastroenterol 2011;17:222

How to cite this URL:
Yagnik VD. Percutaneous endoscopic colostomy: A new technique for the treatment of recurrent sigmoid volvulus. Saudi J Gastroenterol [serial online] 2011 [cited 2021 Aug 5];17:222. Available from: https://www.saudijgastro.com/text.asp?2011/17/3/222/80391


Sir,

I read the article entitled, "Percutaneous endoscopic colostomy: A new technique for the treatment of recurrent sigmoid volvulus," [1] with great interest. I would like to congratulate the author for an excellent description of the technique. However, certain aspects need clarification. Author states that all previously reported series or case reports used a single percutaneous endoscopic colostomy (PEC) tube of small size. [1] Choi et al.[2] described fixation of the sigmoid colon at two points, one distal and the other proximal to the sigmoid apex with the help of a PEG kit. In large series, Baraza et al.[3] had also performed the procedure with similar technique using a 20-F PEG kit. PEC is an alternative to surgery in high-risk/selected patients with recurrent sigmoid volvulus, refractory colonic pseudo-obstruction, or severe slow-transit constipation/fecal constipation. It is important to note that PEC is not recommended for acute sigmoid volvulus or acute colonic pseudo-obstruction, for which the mainstay of treatment is endoscopic or pharmacological decompression. [4] Although placement of the PEC tube is a relatively safe and easy procedure [1] , it is not without complication. Other complications in addition to peritonitis are: [3] Major complications (tube migration, recurrence, death), minor complications (abdominal wall bleed, buried bumper, infection, pain, urgency), failure, and poor tolerance. Author statement about the longest follow-up of his case [1] also needs clarification. The longest reported follow-up in literature is 89 months. [3]

 
   References Top

1.Al-Alawi IK. Percutaneous endoscopic colostomy: A new technique for the treatment of recurrent sigmoid volvulus. Saudi J Gastroenterol 2010;16:120-1  Back to cited text no. 1
    
2.Choi D, Carter R. Endoscopic sigmoidopexy: A safer way to treat sigmoid volvulus? J R Coll Surg Edinb 1998;43:64.  Back to cited text no. 2
[PUBMED]    
3.Baraza W, Brown S, McAlindon M, Hurlstone P. Prospective analysis of percutaneous endoscopic colostomy at a tertiary referral centre . Br J Surg 2007;94:1415-20.  Back to cited text no. 3
[PUBMED]  [FULLTEXT]  
4.Saunders MD, Kimmey MB. Systematic review: Acute colonic pseudo-obstruction. Aliment Pharmacol Ther 2005;22:917-25.  Back to cited text no. 4
[PUBMED]  [FULLTEXT]  

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Correspondence Address:
Vipul D Yagnik
Ronak Endo-Laparoscopy and General Surgical Hospital, Patan, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.80391

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