Colonoscopy in the emergency treatment of colonic volvulus in Nigeria
- 1 November 1985
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Diseases of the Colon & Rectum
- Vol. 28 (10), 795-798
- https://doi.org/10.1007/bf02555478
Abstract
The commonest cause of large-bowel obstruction in Nigeria is sigmoid volvulus. Patients usually present late, dehydrated, and in very poor condition. The mortality of emergency colonic surgery is undoubtedly high, more so in developing countries poorly equipped to cope with such a condition. To reduce the mortality rate and improve management of the patients, a four-year prospective study of detorsion followed by elective surgery after adequate resuscitation and bowel preparation was carried out between January 1979 and December 1982. Volvulus is classified into three groups: torsion, obstruction, and strangulation. Criteria for short colonoscopic detorsion of torsion and obstruction types are discussed, and the contraindication in the case of strangulation type mentioned. This article describes the management of 92 cases of sigmoid volvulus between 1979 and 1982.This publication has 7 references indexed in Scilit:
- Sigmoid volvulus with and without megacolonDiseases of the Colon & Rectum, 1982
- Review of sigmoid volvulusDiseases of the Colon & Rectum, 1982
- Sigmoid volvulusDiseases of the Colon & Rectum, 1981
- Volvulus of the Cecum and Right ColonJAMA, 1981
- The management of acute sigmoid volvulusBritish Journal of Surgery, 1981
- Sigmoid volvulusThe American Journal of Surgery, 1971