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Small intestinal volvulus in Southern Ethiopia
1Department of Surgery, St Paul's Hospital, Addis Ababa, Ethiopia.
East African Medical Journal
|May 11, 2002
Summary
Small intestinal volvulus (SIV) is a leading cause of intestinal obstruction in Ethiopia. Prompt diagnosis and surgical intervention are crucial to reduce SIV-related complications and mortality.
Area of Science:
- Gastroenterology
- Surgical Emergencies
- Public Health
Background:
- Small intestinal volvulus (SIV) is a significant surgical emergency globally.
- SIV is identified as the primary cause of intestinal obstruction in southern Ethiopia.
Purpose of the Study:
- To determine the incidence of SIV in a rural Ethiopian hospital.
- To evaluate the treatment outcomes for SIV patients.
Main Methods:
- A retrospective study was conducted.
- Data were collected from 235 patients operated on for acute intestinal obstruction between 1992 and 1996.
- Patient demographics, illness duration, extent of bowel involvement, treatment, and complications were analyzed.
Main Results:
- Small intestinal volvulus accounted for 41.7% (98/235) of acute intestinal obstruction cases.
- The condition predominantly affected young adult males (mean age 34 years), many of whom were farmers.
- The mortality rate was 13.3%, with sepsis being the most common cause of death; 36 patients experienced postoperative complications.
Conclusions:
- Small intestinal volvulus is the predominant cause of intestinal obstruction in the studied population.
- Timely diagnosis and surgical management are essential for improving patient outcomes and reducing mortality.