Sigmoid volvulus and its management: a study of 38 cases

  • Dr Goparaju Shanti Kumar Assistant Professor, Department of General Surgery, Mahatma Gandhi Memorial Hospital, Kakatiya Medial College, Warangal, Telangana state, India
  • Dr Araboina Upender Associate Professor, Department of General Surgery, Mahatma Gandhi Memorial Hospital, Kakatiya Medial College, Warangal, Telangana state, India
  • Dr Dodda Ramesh Kumar Professor, Department of General Surgery, Mahatma Gandhi Memorial Hospital, Kakatiya Medial College, Warangal, Telangana state, India
  • Dr Sheelam Kalavathi Postgraduate, Department of General Surgery, Mahatma Gandhi Memorial Hospital, Kakatiya Medial College, Warangal, Telangana state, India
Keywords: Sigmoid volvulus, Sigmoidopexy, End-to-end anastomosis

Abstract

Background: Sigmoid volvulus is one of the commonest causes of distal colonic obstruction. Early diagnosis and early surgical intervention reduces mortality and morbidity.

Study design: Case series.

Aim of the study: To study the incidence of intestinal obstruction, age distribution, procedures adopted in the management and post operative outcome.

Methodology: This prospective study was conducted upon 38 patients diagnosed with sigmoid volvulus in surgical unit of our institute from November 2008 – October 2010.

Results: 38 patients were with sigmoid volvulus, initially treated conservatively by initially passing a flatus tube and soap and water enema. All the cases were operated of which three underwent Sigmoidopexy, three underwent exteriorization, one underwent Hartmann procedure and others underwent primary resection and anastomosis. Post operative period was uneventful but for 3 cases (7.9%) who had fatal outcome. Recurrence was nil up to 3 months of follow-up.

Conclusion: Early intervention by primary resection and end-to-end anastomosis is superior to all other procedures and can be safely employed with satisfactory results.

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References

1. Schakelford’s Surgery of the Alimentary tract, 7th Edition:1850-55. [PubMed]

2. Raveenthiran V, Madiba TE, Atamanalp SS, De U. Volvulus of the sigmoid colon. Colorectal Dis. 2010 Jul;12(7 Online):e1-17. doi: 10.1111/j.1463-1318.2010.02262.x. Epub 2010 Mar 10. [PubMed]

3. Scott GW. Volvulus of the sigmoid flexure. Dis Colon Rectum. 1965 Jan-Feb;8:30-4. [PubMed]

4. Johnson LP . Recent experience with sigmoid volvulus in Ethiopia; its incidence and management by primary resection . Ethiop Med J 1965; 4:197–204.

5. Ballantyne GH. Review of sigmoid volvulus. Clinical patterns and pathogenesis. Dis Colon Rectum. 1982 Nov-Dec;25(8):823-30. [PubMed]

6. Hilton HD, Waugh JM. Volvulus of the sigmoid colon. AMA Arch Surg. 1951 Mar;62(3):437-42. [PubMed]

7. Principles and Practice of Surgery for the Colon, Rectum, and Anus. Philip H. Gordon, 3rd Edition:29:971-79.

8. Sinha RS. A clinical appraisal of volvulus of the pelvic colon with special reference to etiology and treatment. Br J Surg. 1969 Nov;56(11):838-40. [PubMed]

9. Anderson JR, Lee D. The management of acute sigmoid volvulus. Br J Surg. 1981 Feb;68(2):117-20. [PubMed]

10. Sutcliffe MM. Volvulus of the sigmoid colon. Br J Surg. 1968 Dec;55(12):903-10.
Sigmoid volvulus and its management: a study of 38 cases
CITATION
DOI: 10.17511/ijmrr.2016.i09.12
Published: 2016-09-30
How to Cite
1.
Shanti Kumar G, Upender A, Kumar Dodda R, Kalavathi S. Sigmoid volvulus and its management: a study of 38 cases. Int J Med Res Rev [Internet]. 2016Sep.30 [cited 2024Mar.29];4(9):1587-90. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/690
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Original Article