Treatment of recurrent sigmoid volvulus in Parkinson's disease by percutaneous endoscopic colostomy

S. Toebosch, V. Tudyka, A.A.M. Masclee, G.H. Koek

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The exact aetiology of sigmoid volvulus in Parkinson's disease (PD) remains unclear. A multiplicity of factors may give rise to decreased gastrointestinal function in PD patients. Early recognition and treatment of constipation in PD patients may alter complications like sigmoid volvulus. Treatment of sigmoid volvulus in PD patients does not differ from other patients and involves endoscopic detorsion. If feasible, secondary sigmoidal resection should be performed. However, if the expected surgical morbidity and mortality is unacceptably high or if the patient refuses surgery, percutaneous endoscopic colostomy (PEC) should be considered. We describe an elderly PD patient who presented with sigmoid volvulus. She was treated conservatively with endoscopic detorsion. Surgery was consistently refused by the patient. After recurrence of the sigmoid volvulus a PEC was placed.
Original languageEnglish
Pages (from-to)5812-5815
Number of pages4
JournalWorld Journal of Gastroenterology
Volume18
Issue number40
DOIs
Publication statusPublished - 28 Oct 2012

Keywords

  • Colonic dysfunction
  • Colostomy
  • Endoscopic treatment
  • Parkinson's disease
  • Sigmoid volvulus
  • COLON VOLVULUS
  • MANAGEMENT
  • CONSTIPATION
  • DYSFUNCTION
  • BOWEL
  • TEGASEROD
  • FREQUENCY
  • MEGACOLON

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