埃塞俄比亚中北部的小肠扭转（SBV）。

Small bowel volvulus (SBV) in Northcentral Ethiopia.

作者信息

Awedew Atalel Fentahun, Belay Woldemariam Beka, Amsalu Bedemariam Tadesse, Yalewu Dawit Zerihun

机构信息

Department of Surgery, Addis Ababa University, Addis Ababa, Ethiopia.

Department of Surgery, Debre tabor Hospital, Debre Tabor, Ethiopia.

出版信息

BMC Surg. 2020 Oct 2;20(1):221. doi: 10.1186/s12893-020-00886-6.

DOI:10.1186/s12893-020-00886-6

PMID:33008425

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7532551/

Abstract

BACKGROUND

Small bowel volvulus (SBV) is a benign gastrointestinal surgical condition in which there is a torsion of all or parts of a segment of small bowel on its mesenteric axis. It has been contributed significant burden of surgical emergency as cause of small bowel obstruction in developing countries. The main objective this study was to explore clinical and epidemiological profile of Small bowel volvulus in Northcentral Ethiopia.

METHOD

The study was conducted at Debre Tabor General Hospital, South Gondar in Northcentral Ethiopia. The medical records of patients with a discharge diagnosis of small bowel volvulus were reviewed. The patients were seen for a 4-year period from Jan1, 2016-Dec31, 2019. The study was hospital-based retrospective cross-sectional and data were collected with a standardized structure questioner tool. The collected data checked for any inconsistency, code, and enter SPSS version 23 for data processing and analysis. Descriptive analyses were represented as frequency, percent, mean ± standard deviation for normal distribution, and Median ± Interquartile range for skewed data. Cross tabulation analysis was done for risk factors contributed for mortality and morbidity of SBV.

RESULT

There were 148 patients with Small bowel volvulus as a cause of small bowel obstruction was admitted within 4 years. The annual occurrence rate was 35cases per year. It represented 59% of small bowel obstruction and 36.3% of bowel obstruction. The majority were males (N = 125, 84.5%) and females were (N = 23, 15.5%). The age ranged from 15 to 78 years. The mean age was 41.14 ± (SD = 15.4). The most common clinical presentation was abdominal pain 98% and vomiting 91.2%. The median time of hospital stay was 5 days (± IQR = 2). The mean duration of illness before hospital admission was 2 days (± SD = 1.4) and median was 1 day (± IQR = 2). The morbidity rate was 5.4% (N = 8) and the mortality rate was 3.4%(N = 5).

CONCLUSION

Annual occurrence of SBV was 37 cases per year. The prevalence of SBV was 59% of small bowel obstruction and 36.3% of bowel obstruction respectively.

摘要

背景

小肠扭转（SBV）是一种良性胃肠道外科疾病，即一段小肠的全部或部分围绕其肠系膜轴发生扭转。在发展中国家，它作为小肠梗阻的病因给外科急症带来了沉重负担。本研究的主要目的是探讨埃塞俄比亚中北部小肠扭转的临床和流行病学特征。

方法

本研究在埃塞俄比亚中北部南贡德尔的德布雷塔博尔综合医院进行。回顾了出院诊断为小肠扭转患者的病历。研究对象为2016年1月1日至2019年12月31日期间的患者，为期4年。该研究是以医院为基础的回顾性横断面研究，通过标准化结构问卷工具收集数据。对收集到的数据检查是否存在不一致、编码，并录入SPSS 23版本进行数据处理和分析。描述性分析以频率、百分比、正态分布的均值±标准差以及偏态数据的中位数±四分位数间距表示。对导致小肠扭转死亡率和发病率的危险因素进行交叉表分析。

结果

4年内有148例因小肠扭转导致小肠梗阻的患者入院。年发生率为每年35例。它分别占小肠梗阻的59%和肠梗阻的36.3%。大多数为男性（N = 125，84.5%），女性为（N = 23，15.5%）。年龄范围为15至78岁。平均年龄为41.14±（标准差 = 15.4）。最常见的临床表现是腹痛（98%）和呕吐（91.2%）。中位住院时间为5天（±四分位数间距 = 2）。入院前平均病程为2天（±标准差 = 1.4），中位数为1天（±四分位数间距 = 2）。发病率为5.4%（N = 8），死亡率为3.4%（N = 5）。