Surgical Management of Volvulus of the Sigmoid

Prather, J. Richard; Bowers, Ralph F.

doi:10.1001/archsurg.1962.01310060005002

Cited by 15 publications

(2 citation statements)

References 9 publications

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“…In this series, there was a preponderance of young females (M : F 7 : 4) in contrast to the previously stated view that the disease more commonly affects males of middle and old age (Bruusgaard, 1947;Pool and Dunavent, 1951 ;Drapanas and Stewart, 1961 ;Nayman, 1962;Prather and Bowers, 1962;Wilson and Dunavent, 1965;Carden, 1966;Wuepper et al, 1966;Hildebrand and Wilson. 1967: Sutcliffe.…”

Section: Discussioncontrasting

confidence: 80%

“…A barium enema examination performed during an acute attack may show a 'mucosal spiral pattern' (Ligat and Overend, 1933;Sutcliffe, 1968) (Fig. 2), or 'beaking' (Rigler and Lipschultz, 1940;Drapanas and Stewart, 1962;Prather and Bowers, 1962;Sawyer et al, 1962;Kerry and Ransom, 1969). These are both due to the appearance of the barium-filled distal bowel.…”

Section: Discussionmentioning

confidence: 99%

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Intermittent sigmoid volvulus in the younger age groups

Kettlewell

Gough

1977

British Journal of Surgery

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Sigmoid volvulus is a well-recognized clinical entity, occurring more commonly in the male in middle or old age. In younger age groups the diagnosis is therefore often delayed. We report here 11 patients of an average age of 31 years (range 12-57 years), with a preponderance of females (7 : 4), who have presented to us in the past 2 years with intermittent sigmoid volvulus. The average age at onset of initial symptoms was 26 years. All had the diagnosis confirmed radiologically by colonoscopy or at operation. The diagnostic features of the condition are described.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Intermittent sigmoid volvulus in the younger age groups

Kettlewell

Gough

1977

British Journal of Surgery

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Treatment of Volvulus of the Sigmoid Colon and Cecum

Nay¹

1967

Arch Surg

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Colorectal disease in spinal cord patients

Longo

Ballantyne

Modlin

1990

Diseases of the Colon &Amp; Rectum

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Undiagnosed abdominal emergencies account for 10 percent of all fatalities among patients with spinal cord injuries. A large number of these emergencies involve the lower gastrointestinal tract. The purpose of this study is to bring attention to the occult nature of colorectal disease in spinal cord patients and to highlight the subtle, but characteristic, symptoms and signs that develop in these patients. The authors identified 13 spinal cord patients in whom a lesion developed in either the appendix, colon, rectum, or anus. The average age of all patients was 36.2 years. Trauma and multiple sclerosis were the most common etiology of spinal cord injury. The most common presenting symptoms were abdominal distention, vomiting, and constipation. The average delay in diagnosis of the colorectal disease was 35.8 hours. An 84% morbidity and 22% mortality were observed. This study indicates that any deviation from the normal lifestyle of the spinal cord patient should alert one to the possibility of visceral inflammation. Furthermore, close attention to the signs of autonomic dysreflexia or changes in spasticity, along with a thorough evaluation of the ill-appearing spinal cord patient, may uncover occult colonic or rectal disease.

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Surgical Management of Volvulus of the Sigmoid

Cited by 15 publications

References 9 publications

Intermittent sigmoid volvulus in the younger age groups

Intermittent sigmoid volvulus in the younger age groups

Treatment of Volvulus of the Sigmoid Colon and Cecum

Colorectal disease in spinal cord patients

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