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http://ir.mu.ac.ke:8080/jspui/handle/123456789/9181
Title: | Emergency resection of sigmoid volvulus |
Authors: | Jumbi, G Kuremu, RT |
Keywords: | Sigmoid volvulus Intestinal obstruction Gut obstruction |
Issue Date: | Aug-2008 |
Publisher: | AJOL |
Abstract: | Objectives: to determine the outcome of emergency resection of sigmoid volvulus and to determine the factors associated with adverse outcome. Design: retrospective case series review. Setting: moi teaching and referral Hospital (mtrH), Eldoret, Kenya. Subjects: All cases of sigmoid volvulus operated at mtrH during the six years period between year 2000-2005. Main outcome measures: mortality rate; morbidity rate; and duration of hospital stay. Results: Ninety two case files were analysed. Sigmoid volvulus accounted for 14.1% of all cases of intestinal obstruction and 80% of large gut obstruction. The mean age was 47.3 years and the median was 50 years. The range was 16 to 86 years. The male to female ratio was 29.3:1. Mortality was three (3.3%) cases and the morbidity was 20 (21.7%) cases. The mean duration of hospital stay was 11.8 days. Inadequate intravenous fluid therapy had a statistically significant adverse effect on outcome in this study. the yearly outcome remained unchanged during the six years of the study. Conclusions: Emergency resection in cases with a viable colon had a similar outcome to the traditional standard treatment by emergency endoscopic derotation followed by semi-elective or elective resection. the overall outcome was comparable to global standards. inadequate post- operative intravenous fluid therapy significantly affected the outcome. |
URI: | http://ir.mu.ac.ke:8080/jspui/handle/123456789/9181 |
Appears in Collections: | School of Medicine |
Files in This Item:
File | Description | Size | Format | |
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kuremu.pdf | 272.08 kB | Adobe PDF | View/Open |
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