Small bowel volvulus: a common cause of mechanical intestinal obstruction in our region

The European Journal of Surgery = Acta Chirurgica
E Gürleyik, G Gürleyik

Abstract

To find out the incidence and causes of small bowel volvulus in our region, and to analyse the results of our management. Retrospective study. Teaching hospital, Turkey. 38 Patients who had had no previous abdominal operations who were operated on for mechanical intestinal obstruction caused by small bowel volvulus. Incidence of small bowel volvulus, details of patients, treatments, complications, and outcome. Small bowel volvulus constituted 8%(38/466) of all cases of mechanical intestinal obstruction and 13%(38/292) of small bowel obstruction. Volvulus was primary in 18 (47%), and secondary in 20 (53%) patients. 33 Patients (87%) were male. The mean age of the whole group was 30 years, 42 and 19 in patients with primary and secondary volvulus, respectively (p=0.0005). The incidence of small bowel volvulus was 19%(27/143) in patients under 40 years, and 7%(11/149) in those over 40 years of age (p=0.005). Sixty percent of patients with secondary volvulus (12/20) were under 20 years of age compared with 17% of those with primary volvulus (3/18; p=0.009). The causes of secondary volvulus were Meckel's diverticulum in 14 patients (70%), and malrotation and ileosigmoid knotting in 3 patients each (15%). Segments of bowel were gangr...Continue Reading

Citations

Dec 3, 2014·International Journal of Surgery Case Reports·Osama S Al Beteddini, Emad Sherkawi
Mar 21, 2017·Journal of Pediatric Surgery·Yi-Jung ChangMing-Han Tsai
Jun 28, 2007·Pediatric Surgery International·J M Moran PencoF Romero Aceituno
Apr 27, 2011·Journal of Pediatric Gastroenterology and Nutrition·Yu-Pi LinChih-Cheng Luo
Apr 5, 2008·The Medical Clinics of North America·John T Langell, Sean J Mulvihill

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