An elderly man presented with sigmoid volvulus, is successfully detorsed. What is the next step to be done?
(A) Observation for recurrence # Sigmoid volvulus is the most common form of volvulus of the gastrointestinal tract and is responsible for 8% of all intestinal obstructions.> Decompression may be achieved with the introduction of a stiff tube per the rectum, aided by endoscopy or fluoroscopy.> If rectal decompression is instituted, the patient should be observed for persistent abdominal pain and bloodstained stools, signs that may herald ischemia and indicate the need for surgical intervention.> Surgery is reserved for patients in whom tube decompression fails or for those in whom signs of ischemia are suggested.
Observation for recurrence
Resection immediately
Resection if volvulus recurs
None of the above
Miscellaneous