Resection and primary anastomosis with or without modified blow-hole colostomy for sigmoid volvulus.

Abstract

AIM:

To evaluate the efficacy of resection and primary anastomosis (RPA) and RPA with modified blow-hole colostomy for sigmoid volvulus.

METHODS:

From March 2000 to September 2007, 77 patients with acute sigmoid volvulus were treated. A total of 47 patients underwent RPA or RPA with modified blow-hole colostomy. Twenty-five patients received RPA (Group A), and the remaining 22 patients had RPA with modified blow-hole colostomy (Group B). The clinical course and postoperative complications of the two groups were compared.

RESULTS:

The mean hospital stay, wound infection and mortality did not differ significantly between the groups. Superficial wound infection rate was higher in group A (32% vs 9.1%). Anastomotic leakage was observed only in group A, with a rate of 6.3%. The difference was numerically impressive but was statistically not significant.

CONCLUSION:

RPA with modified blow-hole colostomy provides satisfactory results. It is easy to perform and may become a method of choice in patients with sigmoid volvulus. Further studies are required to further establish its role in the treatment of sigmoid volvulus.

• Authors: Sacid Coban, Mehmet Yilmaz, Alpaslan Terzi, Fahrettin Yildiz, Dincer Ozgor, Cengiz Ara, Saim Yologlu, Vedat Kirimlioglu
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 14 Issue 36 Pg. 5590-4; discussion 5593 (Sep 28 2008) ISSN: 1007-9327 [Print] United States
• PMID: 18810779 (Publication Type: Comparative Study, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Anastomosis, Surgical
• Colectomy (adverse effects)
• Colostomy (adverse effects)
• Female
• Humans
• Intestinal Volvulus (mortality, surgery)
• Length of Stay
• Male
• Middle Aged
• Sigmoid Diseases (mortality, surgery)
• Surgical Wound Infection (etiology)
• Treatment Outcome