Colonoscopy in the emergency treatment of colonic volvulus in Nigeria

Ao, Arigbabu; Badejo, O A; Akinola, D O

doi:10.1007/bf02555478

Cited by 24 publications

(21 citation statements)

References 6 publications

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“…The physicians commonly do a lot of upper gastrointestinal endoscopy 3,4,5 while the surgeons do more of the lower gastrointestinal tract 6,7,8 .We have encountered a some problems while beginning endoscopy in our setting Costs. It is by our standard still very expensive as it costs N15, 000 ($115) for upper GI endoscopy and is N17, 500 ($135) for lower GI endoscopy.…”

Section: Discussionmentioning

confidence: 99%

Surgical gastrointestinal endoscopy in Ibadan, Nigeria

Irabor¹

2010

Nigerian Journal of Surgical Research

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Section: Discussionmentioning

confidence: 99%

Surgical gastrointestinal endoscopy in Ibadan, Nigeria

Irabor¹

2010

Nigerian Journal of Surgical Research

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“…Two important problems arise in SV: luminal obstruction and vascular occlusion [1,19]. Both mechanical obstruction and bacterial fermentation cause the distention of the twisted-loop and the proximal colon [1,20].…”

Section: Pathophysiologymentioning

confidence: 99%

Sigmoid Volvulus

Atamanalp¹

2010

EAJM

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In sigmoid volvulus (SV), the sigmoid colon wraps around itself and its mesentery. SV accounts for 2% to 50% of all colonic obstructions and has an interesting geographic dispersion. SV generally affects adults, and it is more common in males. The etiology of SV is multifactorial and controversial; the main symptoms are abdominal pain, distention, and constipation, while the main signs are abdominal distention and tenderness. Routine laboratory findings are not pathognomonic: Plain abdominal X-ray radiographs show a dilated sigmoid colon and multiple small or large intestinal air-fluid levels, and abdominal CT and MRI demonstrate a whirled sigmoid mesentery. Flexible endoscopy shows a spiral sphincter-like twist of the mucosa. The diagnosis of SV is established by clinical, radiological, endoscopic, and sometimes operative findings. Although flexible endoscopic detorsion is advocated as the primary treatment choice, emergency surgery is required for patients who present with peritonitis, bowel gangrene, or perforation or for patients whose non-operative treatment is unsuccessful. Although emergency surgery includes various non-definitive or definitive procedures, resection with primary anastomosis is the most commonly recommended procedure. After a successful non-operative detorsion, elective sigmoid resection and anastomosis is recommended. The overall mortality is 10% to 50%, while the overall morbidity is 6% to 24%.

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“…Hartmann's procedure is frequently performed for complicated diverticulitis and complicated left colon cancer in Europe and North America, 2,3 and for sigmoid volvulus and complicated left colonic cancer in sub-Saharan Africa. 4,5 In Asia, complicated colorectal cancer constitutes the main indication for HP. 6 The operation is suited to patients who are not candidates for immediate re-establishment of colonic continuity because of local disease, general health, or the experience of the operating surgeon.…”

Section: Introductionmentioning

confidence: 99%