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Ileosigmoid knotting: A review of 923 cases.
| Content Provider | Europe PMC |
|---|---|
| Author | Atamanalp, Sabri Selcuk Disci, Esra Peksoz, Rifat Atamanalp, Refik Selim Atamanalp, Cansu Tatar |
| Copyright Year | 2022 |
| Abstract | Objectives:Ileosigmoid knotting (ISK) is a rare intestinal obstruction form worldwide. The aim of this study was to investigate changing trends in ISK.Methods:The Web of Science and PubMed databases were electronically searched to find all publications to evaluate all epidemiological, etiological, clinical, laboratory, radiological, therapeutic, and prognostic factors in ISK.Results:Most of the cases were reported from Asian and African countries. Mean age was 43.9 years with a 79.9%/20.1% of male/female ratio. Main symptom period was 48.1 hours, while the most common clinical features were abdominal pain/tenderness (99.1%), distention (88.3%), and obstipation/constipation (58.8%). Abdominal X-ray radiography, computerized tomography (CT), and magnetic resonance imaging (MRI) were diagnostic in 8.2%, 96.2%, and 100.0%, respectively, while the total diagnostic accuracy rate was 20.8%. Bowels were gangrenous in 85.6% of the patients. Ileum resection was applied in 14.0% of the cases, while sigmoid colon resection in 7.6%, and both segment resection in 67.1%. The mortality rate was 22.7%, while the morbidity rate was also 22.7%.Conclusion:ISK is a rare disease, but it is still catastrophic despite its two-century recognised past. As an exception, diagnostic convenience arising from CT or MRI looks like the most important change over the last half-century. |
| ISSN | 1682024X |
| Volume Number | 38 |
| PubMed Central reference number | PMC9002437 |
| Issue Number | 3Part-I |
| Issue Number | 3part-i |
| PubMed reference number | 35480527 |
| Journal | Pakistan Journal of Medical Sciences [Pak J Med Sci] |
| e-ISSN | 1681715X |
| DOI | 10.12669/pjms.38.3.5320 |
| Language | English |
| Publisher | Professional Medical Publications |
| Publisher Date | 2022-03-01 |
| Publisher Place | Pakistan |
| Access Restriction | Open |
| Rights License | This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright: © Pakistan Journal of Medical Sciences |
| Subject Keyword | Ileum Sigmoid colon Ileosigmoid knotting Intestinal obstruction |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
