Document Detail


Sigmoid volvulus: high mortality in county hospital patients.
MedLine Citation:
PMID:  7297360     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between 1970 and 1980, 12 patients were admitted 16 times to San Bernardino County Medical Center for sigmoid volvulus. The seven men and five women averaged 68.5 years old. Sixty-seven per cent recounted histories of neuropsychiatric disorders. Fifty per cent had been institutionalized. Forty-two per cent had endured previous episodes of sigmoid volvulus. Fourteen of 24 nonoperative attempts at reduction were successful but were followed by nine recurrences. Ten of 12 patients eventually underwent surgery. Eight procedures were electively scheduled following spontaneous or nonoperative reductions. Two emergency procedures for gangrenous colons were required. Both of these patients died. Mortality following elective surgery was 25 per cent. Twenty-nine major complications followed the ten procedures. All ten patients underwent sigmoid resections. Follow-up disclosed only two living patients. Only five had survived one year following initial hospitalization and only two for two years. The high mortality of this and other American series was attributed to the frail nature of the elderly, debilitated, institutionalized patients with neuropsychiatric and multiple medical disorders, who develop sigmoid volvulus in the United States. [Key words: Volvulus, sigmoid, Sigmoid, surgical treatment].
Authors:
G H Ballantyne
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  24     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1981 Oct 
Date Detail:
Created Date:  1982-01-28     Completed Date:  1982-01-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  515-20     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
California
Colorectal Surgery* / methods
Female
Follow-Up Studies
Hospitals, County
Humans
Intestinal Obstruction / diagnosis,  mortality,  surgery*
Male
Middle Aged
Postoperative Complications / mortality
Sigmoid Diseases / diagnosis,  mortality,  surgery*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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