Comments on 'A Lesson to Learn in an Iatrogenic Perforation of Sigmoid Volvulus after Endoscopic Derotation'

Sigmoid volvulus is the wrapping of the sigmoid colon around itself causing an intestinal obstruction. The initial treatment of the disease is endoscopic derotation in uncomplicated and non-gangrenous patients. To prevent a recurrence in successfully derotated cases, some practitioners apply an anal tube, which may cause some complications including bowel perforation. I comment about a paper, which presented a case of a successful endoscopic derotation of sigmoid volvulus with iatrogenic bowel perforation due to anal tube.