Comments on 'Percutaneous endoscopic colostomy to treat recurrent sigmoid volvulus in an almost centenary patient'.

I read with great interest the article titled 'Percutaneous endoscopic colostomy to treat recurrent sigmoid volvulus in an almost centenary patient' written by Segura et al., who presented a recurrent sigmoid volvulus (SV) case treated with percutaneous endoscopic colostomy (PEC). SV is an uncommon disease worldwide, while it is relatively common in Eastern Anatolia, which is my practicing area. In the light of our comprehensive experience with SV, including 1,036 cases over a 54.5-year period (from June 1986 to January 2021), which is the largest single-center SV series in the world, I want to discuss the terminology, indications, and technique-related prognosis of PEC in SV.