INTRODUCTION Ileo-sigmoid knotting (ISK) is a rare cause of bowel obstruction in which the ileum twists around the sigmoid colon. It is associated with rapid bowel gangrene and a high mortality rate. Little has been published about this condition in Kenya. The objective was to determine the presentation, management, and outcome of patients with ISK. METHODS A seven year (January 2008-December...

OBJECTIVE To evaluate the outcome of treatment of patients with sigmoid volvulus in the Polokwane-Mankweng Hospital and to identify the best management options for these patients. METHODS A retrospective study was undertaken of 85 patients with sigmoid volvulus treated in Polokwane-Mankweng Hospital during the period July 1997-May 2004. RESULTS In total, 85 patients were evaluated (77 males...

The aim of this study was to report a clinical case ileocaecal node in the visceral surgery department Donka. ileosigmoid or knot (ISK), is an exceptional entity, it surgical emergency characterized by strangulation small intestine forming around base sigmoid colon with risk rapid necrosis intestine. And colon. preoperative diagnosis condition difficult because its rarity and atypical radiograp...

BACKGROUND Adult large bowel obstruction is an infrequent cause of acute obstruction in Africa and India. The cause of obstruction varies between regions of the world. Current controversy concerns the surgical management of the acutely obstructed left colon. MATERIALS AND METHODS This is a prospective study of adult patients with acute large bowel obstruction over a 6-year period. The diagnos...

The adenosine triphosphate-based chemotherapy response assay (ATP-CRA) is a chemosensitivity test that offers the potential of selecting cancer treatments based on the responsiveness of individual tumors. We report a case of 47-yr-old male, presented with sigmoid colon cancer with multiple liver and peritoneal metastases, in which there was a complete response for the primary colon cancer after...

A method is described of estimating retrograde spread through the colon of a 10% hydrocortisone acetate foam by labelling the foam with technetium-99m sulphur colloid and observing spread after intrarectal administration by serial gamma-camera pictures. The recommended 51 ml dose of foam reached the mid-sigmoid colon in all of the nine patients who had active ulcerative colitis. Furthermore, in...

Snare polypectomy by sigmoid-rectal intussusception Appreciable bleeding or perforation after colonoscopic polypectomy is relatively unusual. Nevertheless, either may occur with broad-based sessile polyps owing to insufficient electrocoagulation of the base resulting from excessive current application, excessive snare-wire tightening, or a combination of both. If a polyp base is over about 2 cm...