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Factors triggering knot formation in ileosigmoid knotting
Ercan Korkut1, Sabri Selcuk Atamanalp2
1Prof. Ercan Korkut, Assist. MD. Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
Pakistan Journal of Medical Sciences
|August 22, 2022
Summary
Ileosigmoid knotting (ISK) is a rare condition. Acute diarrhea, harvesting, and overeating are identified as key triggers for ISK, offering insights into its physiopathology.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Ileosigmoid knotting (ISK) is an uncommon form of double-loop ileus.
- The underlying physiopathology and specific triggering factors of ISK remain poorly understood.
Purpose of the Study:
- To investigate and elucidate the physiopathology of ISK.
- To identify and analyze the primary triggering factors contributing to ISK development.
Main Methods:
- Retrospective and prospective analysis of 80 patients diagnosed with ISK.
- Prospective evaluation of 80 control patients with bowel obstruction due to adhesive ileus or strangulated inguinal hernia.
- Investigation of potential triggers including acute diarrhea, body motions, overeating, coughing, and labor.
Main Results:
- Acute diarrhea was identified as a significant factor in 21.3% of ISK cases (p<0.05).
- Harvesting (e.g., post-operative) was associated with 11.3% of cases (p<0.05).
- Overeating was implicated in 10.0% of ISK cases (p<0.05).
Conclusions:
- Increased bowel motility, excessive body movements, and overeating are suggested as primary triggers for ISK.
- Further research is needed due to limited existing literature on ISK triggers.
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