Title: Volvulus of Sigmoid Colon in Western Part of Odisha- Treatment & Outcome –A Retrospective Study
Authors: Dr Banabihari Mishra, Dr Bhupesh Kumar Nayak, Dr Kishan Bhoi
DOI: https://dx.doi.org/10.18535/jmscr/v4i10.75
Sigmoid volvulus is a life threatening surgical emergency which demands early surgical intervention. It is common throughout Africa, India, Iran & Russia. Through rare in united states & Europe. In endemic Regions, sigmoid volvulus accounts for 20-50% of all bowel obstructions. The mortality rate associated with sigmoid volvulus is high, estimated to be around 20% depending on treatment procedures & case conditions. The high mortality rate from sigmoid volvulus is in part due to bowel gangrene & its sequlae. Anywhere from 8-45% of cases of sigmoid volvulus have been reported to be gangrenous. X-ray abdomen erect showing of omega sign/bent inner tube sign/coffee bean sign is diagnostic sign of volvulus of the sigmoid colon.routine ultrasound abdomen and pelvis was done in all cases to exclude other abdominal pathology. Digital rectal examination-rectum was empty and ballooning was seen. Successfull management of sigmoid volvulus demands that the surgery recognize 2 distinct disease process- gangrenous & non gangrenous. 3 most common surgical option for treatment of volvulus of sigmoid colon are Resection & primary anastomosis - hartman’s procedure - Meso sigmoidopexy 1. Lal S, Morgenstern R, Vinjirayer E, A. Sigmoid volvolus an update. Gastrointe-stinal endoscopy clinics of North America. 2006; 16: 175-187. (PubMed:16546032) 2. Ballantyne G, Brandner M, Beart R, IIstrup D. Volvulus of the colon. Incidence and mortality. Annals of surgery. 1985; 202:83-91. (PubMed: 4015215) 3. Valentine Pastore, Angela Basile, Raffaella Cocomazzi, Marlena Pastore, Fabio Bartoli. Sigmid volvulus in a neonate: Case report and review of litera-ture, African J ournal of paediatric surgery Oct/Decm 2013 (10) issue 4:390392. 4. Raveenthiran V. Restorative resection of unprepared left colon in gangrenous versus viable sigmoid volvulus. International Jounral of Colorectal Disease 2004; 19:258-263. 5. Grossmann EM, Longo WE, Stratton MD, et al. Sigmoid volvulus in Department of Veterans Affairs Medical Centers. Dis Colon Return 2000; 43:414-8. 6. Connolly S, Brannigan AE, Heffeman E, Hyland JM. Sigmoid volvulus: a 10 year audit. Ir J Med Sci 2002; 171-216-7. 7. Atamanalp SS, Yildirgan MI, Basoglu M, et al. Sigmoid colon volvulus in children: review of 19 cases. Pediatr Surg Int. 2004; 20:492-5. 8. Muyco A, Kushner A, Mvula C. Manage-ment of sigmoid volvulus at a tertiary care hospital in Africa. East and central African Jounral of Surgery. 2005; 10: 105. 9. Northeast AD, Dennison AR, Lee EG. Sigmoid volvulus: new thoughts on the epidemiology. Dis Colon Rectum 1984;27:260-1.Abstract
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