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Related Experiment Videos

Sigmoid volvulus in rural Bengal.

Utpal De1

  • 1Department of Surgery, Bankura Sammilani Medical College and Hospital, West Bengal, India. utpalde@vsnl.net

Tropical Doctor
|April 5, 2002
PubMed
Summary

Sigmoid volvulus management in India involved 197 patients over five years. Primary resection and anastomosis proved a safe and effective treatment, avoiding recurrence and repeated hospitalizations.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Abdominal Surgery

Background:

  • Sigmoid volvulus is a common cause of large bowel obstruction, particularly in certain geographic regions.
  • Delayed diagnosis and management can lead to significant morbidity and mortality.

Purpose of the Study:

  • To review the aetiological factors, clinical presentation, and management outcomes of sigmoid volvulus.
  • To evaluate the safety and efficacy of primary resection and anastomosis versus sigmoidopexy.

Main Methods:

  • Retrospective review of 197 patients treated for sigmoid volvulus between January 1995 and December 2000.
  • Diagnosis was primarily suggested by straight X-ray of the abdomen.
  • Management involved celiotomy with primary resection and anastomosis or sigmoidopexy.

Main Results:

  • The mean age of patients was 45.06 years, with a male to female ratio of 2.07:1.
  • Abdominal distension and obstipation were the most common clinical features.
  • The overall mortality rate was 1.01%. Primary resection and anastomosis had no recurrence, while sigmoidopexy had one recurrence.

Conclusions:

  • Primary resection and anastomosis is a safe and effective surgical treatment for sigmoid volvulus.
  • This approach avoids the risk of recurrence and reduces the need for repeated hospitalizations compared to other methods.

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