Reply to 'Comments on a new classification, treatment algorithm and prognosis-estimating system for ileosigmoid knotting: the role of sigmoid colectomy in recurrence'.

08:00 EDT 12th June 2018 | BioPortfolio

Summary of "Reply to 'Comments on a new classification, treatment algorithm and prognosis-estimating system for ileosigmoid knotting: the role of sigmoid colectomy in recurrence'."

I agree with the author's opinion about the role of sigmoid dolichocolon in the development of ileosigmoid knotting (ISK). As he discussed, a sigmoid volvulus (SV) attack history is present in approximately 25% of patients with ISK [3]. Although sigmoid dolichocolon is the most important factor in the development in SV [4], it is not the unique affecting factor in ISK and the presence of a hypermobile terminal ileum is more effective in the development of ISK. Consequently, Type II cases with ISK, in which sigmoid colon is active component, constitute approximately 20% of all patients. This article is protected by copyright. All rights reserved.


Journal Details

This article was published in the following journal.

Name: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
ISSN: 1463-1318


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