1993 Volume 35 Issue 6 Pages 1373-1379
A case of sigmoid volvulus released by non-operative technique was reported, in which the mucosal damage after replacement was observed by means of colonofiberscope, and the change of peripheral blood endotoxin and lipidperoxide was also observed. Just after endoscopic replacement. fesh bloody stool was recognized, but a prominent ulcerative lesion was not detected by the endoscopic examination on the next day, then the risk for intestinal necrosis or perforation was thought to be low. The level of endotoxin did not increase through the course, which indicated that endotoxin was not absorbed from mildly damaged intestinal mucosa. The level of serum lipidperoxide was not increased, either, which indicated that severe ischemic change or reperfusion injury did not occur in the involeved bowel. Repeated endoscopic examination, measurement of serum endotoxin and lipid peroxide is thought to be usefull for folow up study of the damaged intestine after endoscopic replacement for sigmoid volvulus.
