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Primary small bowel volvulus: cause and management

J H Duke, M S Yar

    Archives of Surgery (Chicago, Ill. : 1960)
    |June 1, 1977
    PubMed
    Summary

    Sudden dietary changes, particularly during Ramadan, significantly increase the risk of primary small bowel volvulus. Prompt surgical intervention is crucial for survival in these cases.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Primary small bowel volvulus is a rare surgical emergency.
    • Dietary factors, especially high-bulk vegetable intake, are suspected contributors.
    • Previous reports lack conclusive evidence on dietary triggers.

    Purpose of the Study:

    • To investigate the relationship between dietary changes and the incidence of primary small bowel volvulus.
    • To identify specific dietary patterns associated with increased risk.

    Main Methods:

    • Retrospective analysis of 26 primary small bowel volvulus cases over 13 months.
    • Correlation of case incidence with dietary patterns, including Ramadan fasting periods.

    Main Results:

    • A tenfold and ninefold increase in incidence was observed during Ramadan months.
    • Abrupt dietary shifts, characterized by a single large meal after dark, were linked to increased occurrence.
    • No specific food types were identified as direct causes.

    Conclusions:

    • Abrupt dietary changes, exemplified by Ramadan practices, are strongly associated with primary small bowel volvulus.
    • Early diagnosis and surgical management are critical to reduce high mortality rates.

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