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Primary small bowel volvulus in rural Nepal

G Parkes1

  • 1Department of Surgery, Amp Pipal Hospital, Gorkha District, Nepal.

Tropical Doctor
|July 1, 1997
PubMed
Summary

Primary small bowel volvulus is a frequent cause of intestinal obstruction in Nepal, often requiring surgery. This study details 18 adult cases, highlighting male predominance and localized ileal ischemia, with a surprisingly low mortality rate.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Primary small bowel volvulus is a significant cause of intestinal obstruction in the Gorkha district, Nepal.
  • Despite its prevalence, it is often underrepresented in surgical literature.

Purpose of the Study:

  • To present the clinical presentation, findings, and surgical management of primary small bowel volvulus.
  • To highlight key characteristics and outcomes in a Nepalese population.

Main Methods:

  • Retrospective review of 18 cases of primary small bowel volvulus.
  • Analysis of patient demographics, clinical presentation, surgical procedures, and outcomes.

Main Results:

  • The condition predominantly affects adult males.
  • Late presentation was common, yet mortality was low.
  • Localized ischemia of the terminal ileum was a frequent finding.

Conclusions:

  • Primary small bowel volvulus is a critical surgical issue in the region, predominantly affecting adult males.
  • Effective surgical management can lead to favorable outcomes despite delayed presentation.
  • Recognizing terminal ileum ischemia is important for surgical planning.

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