A preliminary comparative cross-sectional analysis of plaque morphology and carotid atherosclerosis in octogenarians plus and a younger cohort

摘要

was 363 days (30%). 4 patients died on 1st admission, 6 patients died onsubsequent admissions. Of those who died, 6 (60%) had a diagnosis ofdementia, one which had treatment with recurrent sigmoidoscopy over acourse of 22 months. Of those treated by surgical intervention (age range48-86), survival was 100% based on mean survival of 630 days at time ofreview, none of which had readmission after surgery.Conclusion: There is an urgent need for guidelines for management ofpatients with sigmoid volvulus, however, surgical intervention should bepreferred choice of definitive management. Yassaie et al recently showedhigh recurrence rate in conservative treatment, and favours the role ofsurgery. It is unclear of the role of repeat endoscopic decompression, andits role is one to be considered in patients who may not be suitable forsurgery or in those who may not be able to manage a stoma.