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Ileosigmoid knotting

E J Gibney1, C N Mock

  • 1Holy Family Hospital, Berekum, Brong Ahafo, Ghana, Africa.

Diseases of the Colon and Rectum
|September 1, 1993
PubMed
Summary
This summary is machine-generated.

Ileosigmoid knotting, a rare condition, has a high mortality rate. Early surgical intervention, including sigmoid resection, is crucial to prevent recurrence and improve patient outcomes.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Ileosigmoid knotting is an uncommon cause of intestinal obstruction.
  • This condition is prevalent in certain geographic regions, necessitating localized study.

Purpose of the Study:

  • To investigate the clinical presentation, treatment strategies, and outcomes of ileosigmoid knotting.
  • To analyze patient data from a district general hospital in a high-incidence area.

Main Methods:

  • Retrospective analysis of 15 patients diagnosed with ileosigmoid knotting.
  • Data collected from Holy Family Hospital, Berekum, Ghana, between 1984 and 1990.

Main Results:

  • The overall mortality rate for ileosigmoid knotting was 47%.
  • Mortality did not vary significantly between patients with viable versus gangrenous bowel.

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  • Patients not undergoing resection at initial presentation faced a higher risk of recurrent volvulus.

    • Conclusions:

    • Ileosigmoid knotting is associated with a substantial risk of mortality.
    • Sigmoid resection should be strongly considered in the management of all ileosigmoid knotting cases to mitigate risks.