Volvulus of the colon: the role of primary resection anastomosis

ABSTRACT

Forty one patients with colonic volvulus admitted to Kasr El-Aini Hospital from 1987 through 1992 were reviewed. Their age ranged between 25 to 73 with an average of 49 years. Only three of them had cecal volvulus and the other 38 had sigmoid volvulus. Intestinal obstruction was the commonest presentation [83%] and 17% of the patients had peritonitis. The cases were subjected to different treatment modalities. Primary resection anastomosis was one of these modalities that was done for eleven cases either as an emergency procedure or after decompression and preparation with an acceptable results. The mortality rate in all cases was 17%. The study showed that primary resection anastomosis is one of the procedures that can be considered in selected cases of sigmoid volvulus