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

Abstract

The exact aetiology of sigmoid volvulus in Parkinson's disease (PDD) remains unclear. A multiplicity of factors may give rise to decreased gastrointestinal function in PDD patients. Early recognition and treatment of constipation in PDD patients may alter complications like sigmoid volvulus. Treatment of sigmoid volvulus in PDD 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 PDD 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. © 2012 Baishideng. All rights reserved.