Toebosch S, Tudyka V, Masclee A, Koek G. Treatment of recurrent sigmoid volvulus in Parkinson's disease by percutaneous endoscopic colostomy. World J Gastroenterol 2012; 18(40): 5812-5815 [PMID: 23155325 DOI: 10.3748/wjg.v18.i40.5812]
Corresponding Author of This Article
Susan Toebosch, MD, Consultant Gastroenterologist, Department of Gastroenterology, Laurentius Hospital, Monseigneur Driessenstraat 6, 6043 CV Roermond, The Netherlands. susantoebosch@hotmail.com
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Oct 28, 2012; 18(40): 5812-5815 Published online Oct 28, 2012. doi: 10.3748/wjg.v18.i40.5812
Treatment of recurrent sigmoid volvulus in Parkinson's disease by percutaneous endoscopic colostomy
Susan Toebosch, Vera Tudyka, Ad Masclee, Ger Koek
Susan Toebosch, Department of Gastroenterology, Laurentius Hospital, 6043 CV Roermond, The Netherlands
Vera Tudyka, Department of Surgery, Laurentius Hospital, 6043 CV Roermond, The Netherlands
Ad Masclee, Ger Koek, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands
Author contributions: Toebosch S wrote the paper, reviewed current literature, performed endoscopic treatment and clinical follow-up; Tudyka V wrote the paper and reviewed current literature; Masclee A revised the paper; Koek G performed endoscopic treatment and revised the paper.
Correspondence to: Susan Toebosch, MD, Consultant Gastroenterologist, Department of Gastroenterology, Laurentius Hospital, Monseigneur Driessenstraat 6, 6043 CV Roermond, The Netherlands. susantoebosch@hotmail.com
Telephone: +31-475-383028 Fax: +31-475-382525
Received: March 29, 2012 Revised: June 13, 2012 Accepted: June 28, 2012 Published online: October 28, 2012
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.
