Volvulus of sigmoid colon: an experience with 50 cases | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2001]

Author(s):

1. Mohammed Haleem Taj: Department of Surgery, Bolan Medical College, Quetta, Balochistan.

2. Arshad Mehmood: Department of Surgery, Bolan Medical College, Quetta, Balochistan.

3. Abdul Salam: Department of Pharmacology, Bolan Medical College, Quetta, Balochistan.

4. Dawood Shah: Department of Cardiac Surgery, Bolan Medical College, Quetta, Balochistan.

Abstract:

To see the incidence of volvulus of sigmoid colon in our hospital. Design: Patients with intestinal obstruction due to volvulus of sigmoid colon were prospectively studied. Place and Duration: This study was conducted in the department of surgery at Sandeman Provincial Hospital, Quetta, from January, 1995 to December, 1996. Subject/Methods: Fifty patients admitted were subjected to surgery after a provisional diagnosis was made on history, physical examination and radiological findings. Recommended operative procedures were performed and final diagnosis was made on operative findings. Results: The volvulus of sigmoid colon was found to be common cause of large gut obstruction accounting for 24.8%, 84% patients were between 21-60 years of age with the peak incidence in their 4th and Sth decades with male to female ratio of 9:1. In 47 patients (94%) laparotomy was done, gut was viable in 86% and nonviable in 14%. Most of the patients remained admitted with minimum and maximum stay of 7 and 32 days respectively. The overall mortality was attributed to viability of gut and general condition of the patients. Conclusion: Colopexy should be done only in those patients who cannot bear the prolong anaesthesia. Rest of the patients should be subjected to resection and primary anastomosis.

Page(s): 100-102

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 11, Issue: 2, Year: 2001

Keywords:

Surgical , Intestinal obstruction Volvulus Sigmoid diseases Laparotomy Anastomosis

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