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1.
West Indian med. j ; 46(Suppl. 2): 18-9, Apr. 1997.
Artigo em Inglês | MedCarib | ID: med-2327

RESUMO

Little has been published in the Caribbean about volvulus of the sigmoid colon. During the years 1986 to 1996 records of 22 patients (41 admissions) with acute sigmoid volvulus were found and reviewed. 41 episodes of sigmoid volvulus in these patients were diagnosed and are the subject of this study. Nearly 90 percent of patients presented with the typical triad of abdominal pain, marked abdominal distension and constipation. An X-ray of the abdomen confirmed the diagnosis in 90 percent of patients diagnosed clinically. The male/female ratio of patients was 7:4. All patients were over the age of 50 years. 60 percent of the patients lived in nursing homes or long term care institutions. In spite of the uncommon occurrence of the disease a correct diagnosis was made in all the patients preoperatively. Nonoperative decompression was performed successfully in 44 percent of patients. Surgical treatment consisted of laparotomy and simple untwisting in six patients (22 percent), resection and colostomy in nine patients (33 percent) and primary resection and anastomosis in nine patients (33 percent). The majority of patients (83 percent) required emergency laparotomy with a mortality of 15 percent. The reccurrence rate was high for patients who had non-operative decompression alone (40 percent) or simple untwisting at operation (83 percent). An elective primary resection in those patients who had been decompressed initially was done in four patients without any complications. 50 percent of patients had a previous episode of sigmoid volvulus. 5 patients had more than one occurrence. We feel that initial management of sigmoid volvulus by attempts at endoscopic decompression should be followed by elective resection during the same hospitalisation. (AU)


Assuntos
Humanos , Feminino , Masculino , Pessoa de Meia-Idade , Idoso , Volvo Gástrico/diagnóstico , Volvo Gástrico/cirurgia , Barbados/epidemiologia
2.
West Indian med. j ; 32(2): 106-8, June 1983.
Artigo em Inglês | MedCarib | ID: med-11433

RESUMO

Acute idiopathic gastric volvulus is a rare surgical condition. Two cases seen at the University Hospital of the West Indies in a single year are presented, and the relevant literature is reviewed. Clinicians are reminded of the classical clinical presentation which should facilitate prompt diagnosis. This awareness is critical since urgent surgical treatment is mandatory to reduce the high reported mortality (AU)


Assuntos
Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Volvo Gástrico/diagnóstico , Doença Aguda , Volvo Gástrico/cirurgia , Jamaica
3.
Carib Med J ; 2(3): 116-7, 1940. ills
Artigo em Inglês | MedCarib | ID: med-4215

RESUMO

Radiological findings in a case of duodenum inversum, with rotation of the stomach on its cardio-pyloric axis, are described. Possible causes of the condition are mentioned. It is suggested that the actual cause can only be determined by surgical means. (AU)


Assuntos
Humanos , Relatos de Casos , Volvo Gástrico , Duodeno , /diagnóstico por imagem
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