Ileosigmoid knotting: A review of 923 cases
Atamanalp, Sabri Selcuk, Disci, Esra, Peksoz, Rifat, Atamanalp, Refik Selim, Tatar Atamanalp, Cansu
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.
- Journal
- PAKISTAN JOURNAL OF MEDICAL SCIENCES
- Year
- 2022
- Volume
- 38
- Issue
- 3
- Pages
- 711-715
- ISSN
- 1682-024X
- eISSN
- 1681-715X
- DOI
- 10.12669/pjms.38.3.5320
- WoS UID
- WOS:000766650500047