Please use this identifier to cite or link to this item:
http://ir.mu.ac.ke:8080/jspui/handle/123456789/9181
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Jumbi, G | - |
dc.contributor.author | Kuremu, RT | - |
dc.date.accessioned | 2024-05-30T12:30:21Z | - |
dc.date.available | 2024-05-30T12:30:21Z | - |
dc.date.issued | 2008-08 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/9181 | - |
dc.description.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. | en_US |
dc.language.iso | en | en_US |
dc.publisher | AJOL | en_US |
dc.subject | Sigmoid volvulus | en_US |
dc.subject | Intestinal obstruction | en_US |
dc.subject | Gut obstruction | en_US |
dc.title | Emergency resection of sigmoid volvulus | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
kuremu.pdf | 272.08 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.