Volvulus of the Sigmoid Colon - A Changing Approach in its Management

نویسنده

  • Duncan D Mugala
چکیده

Volvulus of the Sigmoid Colon ranks high as a cause of acute abdomen in Africa. Often it leads to intestinal obstruction. The causes of this condition differ from region to region. In the western cultures, volvulus is a disease of the sixth decade: The patients present with abdominal pain, distension, and absolute constipation. The predisposing factors include chronic constipation, mega colon, an excessively mobile colon, Parkinsonism and Psychiatric illness5.The African patient may be as young as 15 to 20 years and mainly has a redundant sigmoid colon. What place the diet plays is a matter that is still being debated4, 6. The golden standard of treatment has come to be as follows; decompression of the Sigmoid volulus with surgical action followed after 48 to 72 hours by resection and anastomosis. The stool is diverted using the Hartman’s procedure or the Paul Mickulitz procedure. However, the golden standard is being challenged in favour of a one stage procedure. I present my opinion on this subject

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Sigmoid colon volvulus in pregnancy: a case report

Background: Sigmoid volvulus is a rare complication in pregnancy. The clinical presentation is similar to that of non-pregnant volvulus, although the symptoms can be masked by the enlarged uterus and physiological changes during pregnancy and it can be challenged and delayed in diagnosis and treatment. Delay in diagnosis can also lead to ischemia, necrosis and perforation of the intestine, whic...

متن کامل

A Case of Sigmoid Volvulus in Pregnancy: A Rare Emergency in Pregnancy

Background Sigmoid volvulus (SV) in pregnancy is a very rare entity, which can be associated with extremely high rates of mortality and morbidity for both mother and fetus. Care Report A 22-year-old female patient with a first pregnancy with a gestational age of 27 weeks was referred to the Omolbanin hospital, Mashhad, Iran, ...

متن کامل

An approach to the management of volvulus of the sigmoid colon.

The colon involved with the sigmoid volvulus is much thicker than the normal colon. It is easy to handle and holds sutures well. Patients who have sigmoid-colon volvulus do not have much faecal loading. Most of the distension is gaseous. In the hands of experienced surgeons primary anastomosis can be done after sigmoid colectomy with safety and excellent results.

متن کامل

Sigmoid Volvulus: A New Twist to an Old Problem

Reports of a volvulus (twisting) of the sigmoid colon can be found in a papyrus from ancient Egypt. However, sigmoid volvulus represents a spectrum of disease across the globe from young men in central Africa to the elderly institutionalised patients in Western Europe and the USA. As the population ages the prevalence of sigmoid volvulus is likely to rise. As an acute presentation, it represent...

متن کامل

بررسی 15 مورد قطع و پیوند اولیه بدون آمادگی روده جهت رفع پیچ خوردگی حاد سیگموئید

It is becoming apparent that one-stage primary resection and anastomosis of the left colon for acute sigmoid volvulus is safe and economical. This paper reviews 15 colonic resections with primary anastomosis, which were performed on unprepared bowel in patients with acute sigmoid volvulus at Firoozabadi hospital. The post-operative hospital stay was reduced. The death rate was 13.3% and complic...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2016