Work

Intraoperative Bowel Decompression Using an Endo GIA-to-Ultrasound Sleeve Anastomosis: A Novel Approach for Managing Unprepped Sigmoid Volvulus

Year: 2025

Type: article

Abstract: Acute large bowel obstruction from sigmoid volvulus in unprepped patients presents a significant intraoperative challenge due to the high risk of contamination when decompressing or resecting a distended, feces-filled colon. This paper describes a novel technique for safe and effective decompression of the colon using a linear GIA stapler to create an anastomosis between the descending colon and a sterile ultrasound (US) probe sleeve, enabling fecal evacuation without contamination of the operative field. A case report is presented, and the potential for this technique to be validated through future animal studies is discussed.

Source: Cureus

DOI: 10.7759/cureus.86970

Authors: Brandt Gruizinga, Jonathan Santos, Kevin Szafran, Daniel De Oliveira

Institutions: Nassau University Medical Center, American University of the Caribbean School of Medicine

Language: English

Topic: Intestinal Malrotation and Obstruction Disorders

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4411772448