PMID: 9171761May 1, 1997Paper

Management of ileosigmoid knotting

The British Journal of Surgery
Y Akgun

Abstract

Ileosigmoid knotting is a rare cause of intestinal obstruction. The clinical records of 16 patients treated for ileosigmoid knotting were evaluated retrospectively. There were 11 men and five women. The mean age was 45 years. The mean duration of symptoms was 4.4 days. Plain abdominal radiographs showed multiple air-fluid levels in the colon and/or small bowel. At operation, ileum and/or sigmoid colon necrosis was observed in 13 patients, both ileum and total colon necrosis in two, while there was no necrosis in one patient. Resection of necrotic bowel was necessary in 15 patients. Intestinal continuity was restored by primary anastomosis in 12; three required a stoma. The patient without necrosis was treated by detorsion and mesosigmoplasty. Three of 16 (19 per cent) patients died; septic shock was the major cause of death. Aggressive preoperative resuscitation, appropriate antibiotic therapy, effective surgery and postoperative metabolic support help minimize morbidity and mortality rates.

References

May 1, 1992·The Australian and New Zealand Journal of Surgery·B J Miller, R C Borrowdale
Feb 1, 1991·Diseases of the Colon and Rectum·D PuthuS U Pai
Sep 1, 1989·The British Journal of Surgery·M GurelS Boylu
Jun 1, 1967·The British Journal of Surgery·J J Shepherd
Dec 1, 1993·Diseases of the Colon and Rectum·O AlverD Akdemir
May 1, 1996·Diseases of the Colon and Rectum·Y Akgun

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Citations

Sep 6, 2001·Diseases of the Colon and Rectum·V Raveenthiran
Apr 2, 2013·The Indian Journal of Surgery·Ajay MandalSarfaraz Baig
Jul 11, 2013·Techniques in Coloproctology·S Selçuk Atamanalp
Jan 11, 2007·Gastroentérologie Clinique Et Biologique·Virginie FouquetYves Aigrain
Aug 14, 2012·ANZ Journal of Surgery·Sabri Selçuk Atamanalp
Dec 3, 2014·International Journal of Surgery Case Reports·Patrick Okechukwu IgweJacob Molai Adotey
Sep 19, 2009·Tropical Doctor·A Rehman AlviSalma Khan
Dec 16, 2006·World Journal of Surgery·S Selçuk AtamanalpBedii Salman

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