Percutaneous endoscopic sigmoidopexy: a simple procedure within every endoscopistʼs reach

An 87-year-old man with severe co-morbidities (obstructive pulmonary disease and chronic heart failure, among others) and chronic constipation had previous admissions to the hospital six episodes of large-bowel obstruction, including four documented sigmoid volvuli, and two others that were directly treated with placement of a decompression tube. In the year after the emergency endoscopic detorsion, there were ten more episodes. Surgery was ruled out because of his high risk, and the patient underwent percutaneous endoscopic sigmoidopexy ([Video 1]).