Résultats de la colectomie en urgence dans le traitement du volvulus du côlon au centre hospitalier universitaire (CHU) de Dakar

Touré, Cheikh Tidiane; Dieng, Madieng; Mbaye, Magatte; Sanou, A.; Ngom, Gabriel; Ndiaye, A.; Dia, A.

doi:10.1016/s0003-3944(02)00043-3

Cited by 13 publications

(26 citation statements)

References 6 publications

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“…The mortality associated with sigmoid volvulus is relatively high. There is no significant difference between our results and those of the Turkish, Asian and African series [3] [23]. The selected series found mortality rates ranging from 1.01% in Uptal in India [20] to 22.7% in Mehari in Eritrea [22].…”

Section: Discussioncontrasting

confidence: 41%

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Volvulus of Sigmoid Colon at Sikasso Hospital

Maiga¹,

Traoré²,

Diassana³

et al. 2020

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The sigmoid volvulus is an acute strangulation of the colon by the twisting of the sigmoid loop around its mesenteric axis resulting in partial or complete obstruction of the colonic lumen. It is the most common intestinal volvulus and is an absolute medical and surgical emergency. Objectives: Determine the frequency of sigmoid colon volvulus, describe clinical and para-clinical signs, describe treatment, and determine morbidity and mortality. Methodology: This was a retrospective and prospective study performed in the General Surgery Department of Sikasso. This study concerned patients admitted and operated for sigmoid volvulus from January 1, 2014 to December 31, 2017. Retrospective Phase: We have created survey cards to study the following parameters: 1) The age and the sex; 2) The clinical signs and associated defects; 3) The radiological examinations, endoscopic; 4) The established treatment whether medical, or surgical; 5) The evolution and the postoperative consequences; 6) The admission period. Prospective Phase: At the admission each patient to benefit: a complete interrogation, a complete physical examination, additional examinations including radio of the abdomen without preparation, the rate of hemoglobin and hematocrit, grouping/rhesus. Support: Our data were collected from medical records and operating records of patients in the department. Results: We collected 54 cases of sigmoid volvulus (the annual frequency was 13.5 cases for year), which accounted for 58.1% of colonic occlusions 19.6% of intestinal occlusions and 5.9% of operative operations in emergency. The average age was 47.13 with extremes of 18 and 102 years, The sex ratio is 4.40% in favor of men. Abdominal pain, vomiting, stopping of materials and gases were present in 32 (59.3%) patients. Von Wahl's triad was present in 36 patients (66.7%), the rectal ampoule empty in 92.6%. On the X-ray of the abdomen without preparation, 70.37% of the image was recorded as a double leg. The sigmoid was necrotic in 37% of cases, and a sigmoid volvulus

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Section: Discussioncontrasting

confidence: 41%

“…It is the most common intestinal volvulus and constitutes an absolute medical-surgical emergency [3]. Its incidence reaches 50% of intestinal obstruction in developing countries, and 70% of patients are under 60 years old [4].…”

Section: Introductionmentioning

confidence: 99%

Volvulus of Sigmoid Colon at Sikasso Hospital

Maiga¹,

Traoré²,

Diassana³

et al. 2020

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“…In our review of the literature, surgical treatment was performed in all patients without any prior attempts of endoscopic derotation. But it should also be noted that the unavailability of endoscopy in some developing countries explains why surgery is preferred [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…In our review, 6 patients on 7 had delayed anastomosis. This can be explained by the fact that, with the emergency context and the high probability of ischemia, delayed anastomosis seems safer by reducing the risk of anastomotic leakage [ 16 ]. This is even more true when there are two sites of volvulus.…”

Section: Discussionmentioning

confidence: 99%

Synchronous sigmoid and transverse volvulus: A case report and qualitative systematic review

Ndong

Diao

Tendeng

et al. 2020

International Journal of Surgery Case Reports

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Highlights Colonic volvulus represents the leading cause of colonic obstruction in sub-Saharan Africa. The sigmoid colon is the primary site of volvulus while the transverse colon is a rare condition. The synchronous occurrence of a sigmoid colon and transverse colon volvulus is exceptional. The dual location of strangulation makes it a major surgical emergency with a high risk of gangrene and septic shock. The literature concerning its description is sparse and the treatment options are poorly codified.

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“…In Mali, the frequency of sigmoid volvulus is 10.9% of acute intestinal obstructions [3]. The average age in Africa is 40 [4] compared to 70 years in Western countries [5].…”

Section: Introductionmentioning

confidence: 99%