SciELO - Scientific Electronic Library Online

vol.50 issue1Sacral pressure sore reconstruction - the pedicled superior gluteal artery perforator flapFournier's gangrene - analysis of management and outcome in south-eastern Nigeria author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links

  • On index processCited by Google
  • On index processSimilars in Google


South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361


SULEYMAN, Ozdemir; KESSAF, Aslar A.  and  AYHAN, Kuzu M.. Sigmoid volvulus: Long-term clinical outcome and review of the literature. S. Afr. j. surg. [online]. 2012, vol.50, n.1, pp.9-15. ISSN 2078-5151.

OBJECTIVE: Little has been published regarding long-term surgical outcome after the initial management of acute sigmoid colon volvulus. METHODS: Patients undergoing primary resection and anastomosis (PRA) or Hartmann's procedure (HP) for sigmoid volvulus between September 1992 and August 2000 were reviewed. Eligible patients who had had the initial procedure at least 5 years previously were contacted and completed a questionnaire regarding recurrence, current symptoms and bowel habits. RESULTS: Data on 42 PRA patients and 36 HP patients were analysed. Follow-up (mean 7.2 years, range 5 - 11 years) was completed for 63 patients (37 PRA, 26 HP). Restoration of bowel continuity was successfully performed in 25 of 26 HP patients. No patient had megacolon. Constipation was reported by 83% of PRA and 65% of HP patients. Of these patients, 51% regularly used laxatives. No patient complained of incontinence, and no recurrences of sigmoid volvulus were recorded during the follow-up period. CONCLUSION: Sigmoidectomy with primary anastomosis is a good option for the definitive management of sigmoid volvulus. Despite the high constipation rate, no recurrence occurred during long-term follow-up.

        · text in English     · English ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License