Volvulus du sigmoïde (VS) sans nécrose : colectomie idéale ou résection anastomose en 2 temps ?

Togo, A.; Kanté, L; Diakité, I.; Dembele, Benoit; Traoré, A.; B, Samaké; Coulibaly, Y.; Diarra, Alkadri; Kelly, Brendan D.; Kanté, Abdoulaye; Tounkara, Idrissa; Bengaly, Bréhima; Karembé, Boubacar; Diallo, G.

doi:10.1007/s12157-014-0517-4

Cited by 4 publications

(10 citation statements)

References 13 publications

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“…Indeed, Dieme found in his previous study in the same department this high frequency of SV with around 18.1 cases of SV per year [5] . This high incidence is also reported elsewhere in Africa, in Latin America, in India, in Pakistan, in the Middle East, in Scandinavia and in Russia [2,9,11,12] . In these countries called the « volvulus belt », SV represents 20% to 54% of all cause of intestinal obstruction.…”

Section: Discussionsupporting

confidence: 82%

“…In addition, it could characterize the type of volvulus, the degree of rotation and exclude other etiologies of bowel obstruction, informations which are important in the choice of the adequate treatment [8,10,20,21] . In Africa, abdominal CT is rarely used owing to its nonavailability and high cost [4,11,12,14,16] . In the previous study done in our department CT was realized only in 25% of cases, while in this new study, the realization rate (75.4%) of CT was multiply by 3 compared to the previous study [5] .…”

Section: Discussionmentioning

confidence: 99%

“…As in many African countries, endoscopic decompression is not available in our setting. In these conditions, for most African authors, the only alternative for management of SV is the emergency surgical treatment [4,9,10,11,12,14,15,16] . However, rectal tube decompression, common practice in our department, is used in case of uncomplicated SV with good results as shown by Diémé [5] .…”

Section: Discussionmentioning

confidence: 99%

“…Surgical detorsion techniques with or without pexy are interesting in elderly patients with comorbities. However, they should be abandoned because associated with high mortality and recurrence rate [2,3,6,8,12] . These techniques are less and less carried out in our department.…”

Section: Discussionmentioning

confidence: 99%

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Adult sigmoid volvulus in West Africa: Management and outcome at principal hospital of Dakar

Egpa¹,

Faye²,

Ndiaye³

et al. 2021

Int. J. Surg. Sci.

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Background: Sigmoid volvulus (SV) is the commonest cause of large bowel obstruction in sub Saharan Africa. However few studies have been done in our country. Our goal was to describe the presentation, management outcome of adult SV and to evaluate our therapeutic methods in a context of non availability of endoscopic decompression. Methods: It was a retrospective, descriptive review of all adult patients, admitted in the visceral surgery department of Hospital Principal of Dakar for SV, from January 2014 to August 2018. We studied demographics variables, clinical and paraclinical features, treatment and outcome. The data were entered and analyzed using Excel 2017 software and Epi-info version 7.2.2.6. Results: We collected 103 cases of SV for 86 patients, representing 45.9% of intestinal obstruction. The mean age was 54.9 years. There were 82 males and 4 females. The mean duration of symptoms was 3.8 days. The triad acute abdominal pain, inability to pass gas and feces, abdominal meteorism was noted in 52.4%. Plain abdominal X-ray (n=55; 53.3%) showed the classical 'coffee bean' sign in 69%. CT scan (n=77; 74.7%) confirmed the diagnosis in 100%. It revealed signs of intestinal gangrene in 8 cases confirmed at laparotomy in 6 cases. In 4 cases imaging was not performed. Detorsion was spontaneous in 2 cases. Faucher rectal tube decompression was performed in 81 cases with a success rate of 86.4% representing 53 patients. Elective sigmoidectomy was realized in 33 patients (31 after successful rectal tube decompression, 2 after spontaneous decompression). After elective sigmoidectomy mortality and morbidity were nil. In those with successful rectal tube decompression, 7 did not have elective sigmoidectomy for comorbidities, 12 refused the elective sigmoidectomy. Emergency surgery was performed in 34 patients: 20 patients for suspicious of complicated SV, 14 patients after failure of rectal tube decompression. It was 9 (26.4%) one stage sigmoidectomy, 24 (70.5%) 2 stage sigmoidectomy, 1 surgical detorsion without pexy. Mortality and mortality after emergency surgery were respectively 8.3% and 14.7%. After 2 stage sigmoidectomy, 86.3% benefited from a restoration of digestive continuity. During the follow-up, no recurrence occurred in patients who were operated. Conclusion: SV is a middle-age man pathology in sub Saharan Africa. In uncomplicated SV rectal tube decompression followed by elective sigmoidectomy is a good option.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Adult sigmoid volvulus in West Africa: Management and outcome at principal hospital of Dakar

Egpa¹,

Faye²,

Ndiaye³

et al. 2021

Int. J. Surg. Sci.

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“…All our patients had an unprepared abdominal X-ray (UAP) which showed a double legged arch image. Traore D et al [17] in Mali found that 100% of their patients had an unprepared abdomen (UAP) which showed colonic type hydro-aeros levels in 75.6% (31/41), double leg hydroaeros levels in 9.8% (4/41) in favour of a colonic occlusion, grelic type hydro-aeros levels in 7.3% (3/41) and mixed levels in 7.3% (3/41).…”

Section: Discussionmentioning

confidence: 98%

Pelvic colon volvulus: Results of one-stage versus two-stage colectomy at the University Hospital of Conakry

Yaya¹,

Habiboulaye²,

Abdoulaye³

et al. 2021

GSC Adv. Res. Rev.

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Introduction: The aim of this study was to evaluate the results of one-stage colectomy versus two-stage colectomy at Conakry University Hospital. Methods: This was a retrospective study conducted at the University Hospital of Conakry from January 1, 2015 to December 31, 2019. All patients hospitalized and operated on in the Ignace Deen General Surgery and Donka Visceral Surgery departments for pelvic colon volvulus (PCV) who underwent colectomy during the study period were included. Results: We collected 87 cases of pelvic colon volvulus (PCV). The average age was 45.71 years with extremes of 5 years and 80 years with a male predominance of 82.83% and a sex ratio of 5.18. The morbidity was marked by 2 cases of anastomotic fistulas, 7 cases of parietal suppuration and 1 case of peristomal hemorrhage. 4 cases of death were noted in two-stage colectomy and 2 cases in one-stage colectomy. Conclusion: The occurrence of morbidity and mortality was not related to the type of colectomy. As our study does not allow us to affirm the superiority of one technique over the other, we recommend considering a future dynamic study that would take into account a larger sample.

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Sigmoid Colon Volvulus: Surgical Management at Kati BSS Hospital (Mali)

Keita¹,

Diarra²,

Coulibaly³

et al. 2019

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The objective of this study was to describe the therapeutic aspects and to evaluate the surgery results of sigmoid Volvulus in the Kati (MALIA) General This study has been approved by the Ethics Committee. It's concerned all the patients operated in the department for colon Volvulus. Results: We collected 70 patients' files. The Sigmoid Volvulus represented 7.8% of emergency surgery activities and 37.2% of intestinal obstruction. The male sex predominated with 98.57% against 1.43% of the female sex. The average age was 42.11 years old with limits of 18 to 70. The average deadline evolution was 2.53 days with limits of 1 to 3. The sigmoidectomy with immediate anastomosis was performed in 66% of patients, colectomy with 2-times anastomosis: according to Hartman 20% and Bouilly Volkman 11%, detorsion with colopexy 3%. The early morbidity rate was 5.71%. The average duration of hospitalization was 10.8 days with limits of 5 to 40 days. Two deaths were recorded. Conclusion: Sigmoid Volvulus is frequent in young adult sex male in Africa. We did not find any significant difference between the surgical technique and the advent of complications. The Colectomy with immediate anastomosis seems to be ideal to us that anytime the conditions are appropriate.

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Volvulus du sigmoïde (VS) sans nécrose : colectomie idéale ou résection anastomose en 2 temps ?

Cited by 4 publications

References 13 publications

Adult sigmoid volvulus in West Africa: Management and outcome at principal hospital of Dakar

Adult sigmoid volvulus in West Africa: Management and outcome at principal hospital of Dakar

Pelvic colon volvulus: Results of one-stage versus two-stage colectomy at the University Hospital of Conakry

Sigmoid Colon Volvulus: Surgical Management at Kati BSS Hospital (Mali)

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