LAUSR

lus is decompression under fluoroscopy. Only in a minority of cases decompression is unsuccessful, and once decompression is achieved, subacute recurrences are relatively rare. Similar experiences have been reported recently. Thus, we do not recognize the clinical problem presented by Professor Atamanalp of careful derotation as being a key step in managing sigmoid volvulus, as this is not achieved in fluoroscopic decompression. The letter was motivated by the discrepancy in the management of sigmoid volvulus at different institutions, and we welcome the discussion on the mechanism of the disease.