Early Post-Operative Morbidities Following Early Versus Delayed Sigmoidectomy After Sigmoid Volvulus
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Date
2024-12-02
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Addis Ababa University
Abstract
Sigmoid volvulus (SV) is characterized by the abnormal twisting of the
sigmoid colon on its mesentery. It is the number one cause of acute LBO in Ethiopia.
The incidence of SV varies among different regions. In Western countries, it accounts for
1-5% of all colonic obstructions, while in Ethiopia, it accounts for 58-69% of the LBO.
It has a high recurrence rate of about 30 % to 80% and a significant mortality rate
reaching 25–50% in some case series.
According to the current practice guidelines, patients who present with uncomplicated
SV are initially managed by endoscopic decompression followed by Sigmoidectomy.
Sigmoidectomy carries inherent risks, including surgical site infections, anastomotic
leaks, and cardio-respiratory complications. The study aimed to assess the early
postoperative outcome of index and elective Sigmoidectomies.
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Morbidities Following Early Versus Delayed Sigmoidectomy