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Related Experiment Video

Updated: Jul 8, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia
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Sigmoid volvulus in the Middle East.

Hussein A Heis1, Kamal E Bani-Hani, Daher K Rabadi

  • 1Department of Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, PO Box 3030, Irbid, Jordan 22110.

World Journal of Surgery
|January 16, 2008
PubMed
Summary

Sigmoid volvulus is uncommon in Jordan, causing 9.2% of large bowel obstructions. Resection with primary anastomosis is the preferred treatment, with a 6% mortality rate.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Abdominal Imaging

Background:

  • Sigmoid volvulus is understudied in the Middle East, despite its historical association with the region.
  • Jordan serves as a model to understand sigmoid volvulus epidemiology and management in the Middle East.

Purpose of the Study:

  • To determine the prevalence, clinical features, diagnostic methods, and treatment outcomes of sigmoid volvulus in Jordan.
  • To evaluate surgical and non-surgical management strategies for sigmoid volvulus.
  • To assess postoperative complications and mortality rates associated with sigmoid volvulus.

Main Methods:

  • Retrospective review of medical records for patients with large bowel obstruction from January 2001 to January 2007.
  • Inclusion criteria: confirmed diagnosis of sigmoid volvulus.
  • Data collected: patient demographics, clinical presentation, radiological findings, treatment, and outcomes.

Main Results:

  • Sigmoid volvulus accounted for 9.2% of large bowel obstructions.
  • 32 patients diagnosed with sigmoid volvulus; 75% were male, median age 59.
  • Colonoscopic detorsion successful in 68% of cases; 6 patients had gangrenous sigmoid colon.

Conclusions:

  • Sigmoid volvulus is infrequent in Jordan.
  • Sigmoid resection with primary anastomosis is the favored surgical approach.
  • The study highlights the importance of understanding regional variations in sigmoid volvulus management.