OBJECTIVE To evaluate the safety of single stage resection and primary anastomosis (RPA) in cases of viable sigmoid volvulus, in terms of anastomotic healing and complications. STUDY DESIGN Observational study. PLACE AND DURATION OF STUDY Surgical Unit, Hayatabad Medical Complex (HMC), Postgraduate Medical Institute, Peshawar, from November 2006 to October 2008. METHODOLOGY Study included...

Background: Acute obstruction of the colon continues to be a lethal disease with little improvement in the mortality rate over the past 50 years. So, this study was undertaken to define the causes of colon obstruction and their probable changes after years. Methods: From 1979 to 2004, all records of patients with definite diagnosis of intestinal obstruction at all hospitals affiliated to Shiraz...

AIM OF THE STUDY The optimal treatment for acute sigmoid volvulus has not been defined. Our aim was to compare the results of two techniques for the management of uncomplicated sigmoid volvulus coming from two separate surgical services, which had each chosen a different technique: open surgical versus laparoscopic. PATIENTS AND METHODS Patients with sigmoid volvulus who underwent a surgical ...

Large bowel volvulus accounts for 10-30% of all large bowel obstruction and occurs most commonly in the sigmoid colon(Asbun 1992, Bagarani 1993, Bhatnagar 2004, Oren 2007, Pahlman 1989 ). It is more common in the region of Africa, South America, Middle East and Southern Asia. The most common site of volvulus include sigmoid colon(80%), caecum(15%), transverse colon(3%), splenic flexure(2%) and ...

Intestinal volvulus in patients with inflammatory bowel disease is rare. A 83-year-old woman diagnosed with ulcerative colitis five years ago was referred to our hospital due to abdominal distension. The patient had been diagnosed with pancolitis and dolichocolon and was started on mesalazine 1.5 g/day treatment resulting in long-term remission. Physical examination showed abdominal distention ...