Arigbabu A O, Badejo O A, Akinola D O
Dis Colon Rectum. 1985 Nov;28(11):795-8. doi: 10.1007/BF02555478.
The commonest cause of large-bowel obstruction in Nigeria is sigmoid volvulus. Patients usually present late, dehydrated, and in very poor condition. The mortality of emergency colonic surgery is undoubtedly high, more so in developing countries poorly equipped to cope with such a condition. To reduce the mortality rate and improve management of the patients, a four-year prospective study of detorsion followed by elective surgery after adequate resuscitation and bowel preparation was carried out between January 1979 and December 1982. Volvulus is classified into three groups: torsion, obstruction, and strangulation. Criteria for short colonoscopic detorsion of torsion and obstruction types are discussed, and the contraindication in the case of strangulation type mentioned. This article describes the management of 92 cases of sigmoid volvulus between 1979 and 1982.
在尼日利亚，大肠梗阻最常见的病因是乙状结肠扭转。患者通常就诊较晚，伴有脱水，身体状况很差。急诊结肠手术的死亡率无疑很高，在应对此类情况能力不足的发展中国家更是如此。为降低死亡率并改善患者的治疗，于1979年1月至1982年12月开展了一项为期四年的前瞻性研究，内容为在充分复苏和肠道准备后进行扭转复位，随后进行择期手术。扭转分为三组：扭转、梗阻和绞窄。文中讨论了扭转型和梗阻型短程结肠镜扭转复位的标准，并提及了绞窄型的禁忌证。本文描述了1979年至1982年间92例乙状结肠扭转的治疗情况。
