Resumen

SIERRA ENRIQUE, Eddy; BERMUDEZ CHAVEZ, Francisco  y  ALMENARES LOMBILLO, Niurka. Vólvulo del sigmoides: Morbilidad; estudio de 63 pacientes. Rev Cubana Cir [online]. 1998, vol.37, n.1, pp.21-26. ISSN 0034-7493.

A study of 63 patients who suffered from intestinal obstruction due to sigmoid volvulus is conducted. They were treated by different methods at the Yekatit 12 Hospital, in Addis Abeba, Ethiopia, from August, 1988, to July, 1990. This affection was present in 87,3 % of the patients over 50 and it is the most frequent cause of intestinal obstruction in that region, since it accounts for 75.0 % of the series studied. 12 patients were urgently treated by means of the non-surgical reduction of the sigmoid volvulus, accounting for 19.0 %. Volvulus reduction was possible in 75 % of them, where as it failed in 25 %. The results of the urgent surgical treatment by the removal of the volvulus showed a recurrence of 55.5 %. The mortality from medical treatment was null, whereas the mortality from surgical treatment was 13.7 %. Among the different forms of surgical treatment, resection and primary anastomosis presented 23.8 % of mortality

Palabras clave : INTESTINAL OBSTRUCTION [surgery]; SIGMOID DISEASES [surgery]; SURGERY OPERATIVE [mortality]; SURGERY OPERATIVE [adverse effects]; PREVALENCE; TREATMENT OUTCOME; ETHIOPIA; INTESTINAL OBSTRUCTION [therapy].