STUDY TO KNOW THE EFFICACY OF TREATMENT OF SIGMOID VOLVULUS

Objective: To evaluate the results of treatment in Sigmoid Volvulus cases.

Study Design: A retrospective analysis of case series.

Place and Duration: In the Surgical Department Unit II of Services Hospital, Lahore for three year duration from January 2014 to January 2017.

Methodology: During the analysis time, we selected 67 patients presented with Sigmoid Volvulus. The patients records were retrospectively checked. Non-surgical methods such as barium and sigmoidoscopy have been tested in many cases to eliminate obstruction. Emergency surgery was performed in patients with peritonitis or non-surgical treatment failure.

Results: 58.1 years was the patients mean age and the rate of males was 89.7%. 25% of patients had a similar attack history, 31.93% had comorbidity. The symptoms mean time was 44 hours and in shock there were 14.9% of the patients. The abdominal pain was the most common clinical symptom in 98.7%, constipation (91.93%), abdominal sensitivity (99.07%) and abdominal distension (96.0%). In 81.06% of the cases, the correct clinical diagnosis was made and a positive finding was found in 85.2% of the abdominal radiographs. Abdominal vertical and supine position radiographs, sigmoidoscopy and abdominal ultrasonography were used as diagnostic tools.

Conclusion: In adult males, sigmoid volvulus is usually noted. The main problems are recurrence tendencies, comorbidity and shock.

Key words: Volvulus, Large intestinal obstruction, sigmoid colon.