East African medical journal · 2001
Small intestinal volvulus in Southern Ethiopia.
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Demissie M
Аннотация
BACKGROUND: Small intestinal volvulus (SIV) is a common surgical emergency encountered in many countries. It was reported as the most common cause of intestinal obstruction in the southern part of Ethiopia.
OBJECTIVE: This study was intended to evaluate the magnitude and treatment outcome of SIV in a rural hospital.
DESIGN: Retrospective study.
SETTING: A rural general hospital with 250 beds.
SUBJECTS: Ninety eight of 235 patients operated on for acute intestinal obstruction. There were 88 males and 10 females (age range of 16-65 years).
INTERVENTION: All patients who were operated on for acute intestinal obstruction during 1992-1996 were included.
MAIN OUTCOME MEASURES: Age of patients, duration of the illness and extent of the bowel involved, treatment, and complications were the main outcome measures.
RESULTS: Of the 235 patients with acute intestinal obstruction, 98 (41.7%) had SIV. The mean age was 34 years (range 16-65 years). The male to female ratio was 8.8:1.0. SIV occurred mostly among young adults most of whom were farmers. Postoperative complications occurred in 36 cases. The mortality rate was 13.3%, sepsis being the most frequent cause of death.
CONCLUSION: Small intestinal volvulus was the leading cause of intestinal obstruction in this series. Early diagnosis and prompt operative intervention minimises the morbidity and mortality rate.
OBJECTIVE: This study was intended to evaluate the magnitude and treatment outcome of SIV in a rural hospital.
DESIGN: Retrospective study.
SETTING: A rural general hospital with 250 beds.
SUBJECTS: Ninety eight of 235 patients operated on for acute intestinal obstruction. There were 88 males and 10 females (age range of 16-65 years).
INTERVENTION: All patients who were operated on for acute intestinal obstruction during 1992-1996 were included.
MAIN OUTCOME MEASURES: Age of patients, duration of the illness and extent of the bowel involved, treatment, and complications were the main outcome measures.
RESULTS: Of the 235 patients with acute intestinal obstruction, 98 (41.7%) had SIV. The mean age was 34 years (range 16-65 years). The male to female ratio was 8.8:1.0. SIV occurred mostly among young adults most of whom were farmers. Postoperative complications occurred in 36 cases. The mortality rate was 13.3%, sepsis being the most frequent cause of death.
CONCLUSION: Small intestinal volvulus was the leading cause of intestinal obstruction in this series. Early diagnosis and prompt operative intervention minimises the morbidity and mortality rate.