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J Gastroenterol Dig Dis 2017 | Volume 2, Issue 3
World Gastroenterological &
Gastroenterology and Endoscopy
October 30-31, 2017 | Toronto, Canada
World Congress on
Managment of Sigmoid Volvulus
Hama Younssa
Abdou Moumoni University, Niger
Objective:
To report the results of treatment of sigmoid
volvulus in the National Hospital of Niamey and to propose a
therapeutic classification.
Patients & Methods:
It was a retrospective, descriptive,
and analytical study of 10 years, including all adult patients
treated for sigmoid volvulus in the National Hospital of
Niamey. An association between morbidity and mortality
and the variables was investigated and the results were
analyzed and interpreted according to the literature data to
deliver a therapeutic classification.
Results:
The series included 168 patients, whether 17.31% of
intestinal obstruction and 2.64% of abdominal emergencies.
They were 166men and 2 women. The average age was 50.80
(±15.52) years old. The average time before consultation was
4.18 (±2.85) days. Abdominal pain was the most common
symptom in all patients. Paraclinical diagnosis was essentially
made by radiography of the abdomen without preparation.
Ileosigmoid knot was found in 4.76% of patients. The
necrosis rate was 22.02%. Sigmoid resection according to
Hartmann was performed in 68.45% followed by resection
and then by immediate colo-colonic anastomosis (25.60%).
Overall morbidity was 14.60%, and 7.15% of patients had
died, including 5.95% after sigmoid resection according to
Hartmann. The occurrence of complications was influenced
by necrosis (P = 0.04) and a long time before consultation (P
= 0.04). The mortality was influenced by sigmoid resection
according to Hartmann (P = 0.01). The analysis of our results
according to the literature data has allowed us to define four
treatment groups of patients.
Conclusion:
The determination of four groups of patients
could help in the management of sigmoid volvulus.
Speaker Biography
Hama Younssa completed his graduation as Medical Doctor at Abdou Moumouni
University of Niamey and specialized in general surgery. In 2014 he was nominated to
the Faculty of Health Sciences at Abdou Moumoni University in Niamey as Assistant
Clinical Director and later as Assistant Professor in 2016, a position he currently
holds. At the Faculty of Health Sciences he was also nominated as Coordinator of the
Bachelor’s degree in Surgery.
e:
younssah@gmail.com