引发乙状结肠扭转形成的因素。
Factors precipitating volvulus formation in sigmoid volvulus.
机构信息
Department of General Surgery, Atatürk University Faculty of Medicine, Erzurum-Turkey.
出版信息
Ulus Travma Acil Cerrahi Derg. 2022 Mar;28(3):281-284. doi: 10.14744/tjtes.2020.03762.
BACKGROUND
Sigmoid volvulus (SV), the wrapping of the sigmoid colon around itself, is a rare intestinal obstruction form world-wide. For this reason, the physiopathology of SV, particularly the precipitating factors, are not clearly identified. The aim of this study is to evaluate the precipitating factors in SV.
METHODS
The clinical records of consecutive 416 patients with SV were reviewed prospectively from January 1986 to July 2020. As a control, the records of consecutive 100 patients with non-volvulus intestinal obstruction were reviewed prospectively in the past 24 months. The premorbid symptoms including acute diarrhea, sudden and excessive body motions, overeating after a prolonged starvation, coughing spell, and labor was evaluated.
RESULTS
Among the premorbid symptoms, 1-5-day interval of diarrhea (42 patients, 10.1%, p<0.05), harvesting activation (35 patients, 8.4%, p<0.05), and overeating after Ramadan fasting (31 patients, 7.5%, p<0.05) were found to be statistically significant precipitating factors in SV.
CONCLUSION
Although there are few studies about the precipitating factors of SV in the literature, increased bowel motility, excessive body motions, and overeating following a prolonged starvation look like the precipitating factors in the development of SV.
背景
乙状结肠扭转（SV）是乙状结肠自身缠绕的一种罕见肠梗阻形式。由于这个原因，SV 的病理生理学，特别是诱发因素，尚不清楚。本研究旨在评估 SV 的诱发因素。
方法
前瞻性回顾 1986 年 1 月至 2020 年 7 月连续 416 例 SV 患者的临床记录。作为对照，前瞻性回顾过去 24 个月连续 100 例非扭转性肠梗阻患者的记录。评估了发病前的症状，包括急性腹泻、突然和过度的身体运动、长时间禁食后暴饮暴食、咳嗽发作和劳动。
结果
在发病前的症状中，腹泻（42 例，10.1%，p<0.05）、收获活动（35 例，8.4%，p<0.05）和斋月禁食后暴饮暴食（31 例，7.5%，p<0.05）被认为是 SV 的统计学显著诱发因素。
结论
尽管文献中关于 SV 诱发因素的研究很少，但增加的肠蠕动、过度的身体运动和长时间禁食后暴饮暴食似乎是 SV 发展的诱发因素。
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