Resumo

SIERRA ENRIQUE, Eddy; BERMUDEZ CHAVEZ, Francisco  e  ALMENARES LOMBILLO, Niurka. Vólvulo del sigmoides: Morbilidad y mortalidad. Estudio de 63 pacientes. Rev Cubana Cir [online]. 1997, vol.36, n.2, pp. 147-152. ISSN 1561-2945.

A study of 63 patients presenting with intestinal obstruction due to a volvulus of the sigmoid is carried out. Patients were treated by different methods at Yekatit 12 hospital, Addis Abeba, Ethiopia from August, 1988 to July, 1990. This entity occurred in 87,3 % of patients over 50 years of age and it is the most frequent cause for intestinal obstruction in the region accounting for 75.0 % of the series studies. Twelve patients (19.0 % of the series) were treated by nonsurgical reduction of the volvulus of the sigmoid; in 75.0 % of them the reduction of the volvulus was satisfactory, while in 25.0 % the results failed to be good. Results from the emergency surgical treatment by disvolvulation showed a recurrence rate of 55.5 %. Mortality from medical treatment is null, while mortality from surgical treatment is found to be 13.7 %. Among the different forms of surgical treatment, resection and primary anastomosis accounts for 23.8 % of mortality

Palavras-chave : INTESTINAL OBSTRUCTION [epidemiology]; INTESTINAL [obstruction mortality]; INTESTINAL OBSTRUCTION [therapy]; ETHIOPIA.