Yıl: 2011 Cilt: 41 Sayı: 3 Sayfa Aralığı: 377 - 382 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus

Öz:
Amaç: Bu çalışma, sigmoid kolonun anatomik boyutlarının, sigmoid volvulus (SV) gelişmesindeki rolünü araştırmak amacıyla planlandı. Yöntem ve gereç: Bu prospektif çalışma, karın cerrahisi geçiren 447 hasta üzerinde gerçekleştirildi. Ameliyatlarda sigmoid kolon uzunluğu (SKU), sigmoid mezenter yüksekliği (SMY), sigmoid mezenter genişliği (SMG) ve sigmoid mezenter taban genişliği (STG) ölçüldü. Ek olarak, SKU/STG, SMY/STG ve SMY/SMG oranları hesaplandı. Bulgular: Ortalama SKU, SMY, SMG ve STG değerleri sıra ile 43,7 ± 8,9 cm, 19,3 ± 4,6 cm, 15,6 ± 2,8 cm and 8,6 ± 1,5 cm iken, ortalama SKU/STG, SMY/STG ve SMY/SMG oranları sıra ile 5,3 ± 1,8, 2,3 ± 0,9 ve 1,3 ± 0,3 idi. Ortalama SKU ve SMY değerleri ile SKY/STG, SMY/STG ve SMY/SMG oranları, 40 yaş ve üzerindeki hastalarda, 40 yaş altındakilerden (P < 0,01), erkeklerde kadınlardan (P < 0,01) ve SV hikayesi olanlarda, SV hikayesi olmayanlardan (P < 0,01) belirgin ölçüde yüksekti. Sonuç: Bu çalışma, yaşayan insanlarda sigmoid kolonun bazı anatomik boyutları ile SV arasında belirgin bir ilişki varlığını ortaya koydu.
Anahtar Kelime:

Konular: Cerrahi

Sigmoid kolonun anatomik boyutları ile sigmoid volvulus arasındaki ilişki

Öz:
Aim: To investigate the role of the anatomical dimensions of the sigmoid colon in the development of sigmoid volvulus (SV). Materials and methods: Th e present prospective study was performed with 447 patients who underwent abdominal surgery. Th e length of the sigmoid colon (SCL), the height of the sigmoid mesentery (SMH), the width of the sigmoid mesentery (SMW), and the width of the base of the sigmoid mesentery (SBW) were measured in the operation. Additionally, SCL/SBW, SMH/SBW, and SMH/SMW rates were calculated. Results: Th e mean SCL, SMH, SMW, and SBW values were 43.7 ± 8.9 cm, 19.3 ± 4.6 cm, 15.6 ± 2.8 cm, and 8.6 ± 1.5 cm, respectively, while the mean SCL/SBW, SMH/SBW, and SMH/SMW rates were 5.3 ± 1.8, 2.3 ± 0.9, and 1.3 ± 0.3, respectively. Th e mean SCL and SMH values and SCL/SBW, SMH/SBW, and SMH/SMW rates were signifi cantly higher in the patients of 40 years of age and older than those of the patients under 40 years of age (P < 0.01), in the males than in the females (P < 0.01), and in the patients with a history of SV than in the patients with no history of SV (P < 0.01). Conclusion: Th is study documented clear relationships between some anatomical dimensions of the sigmoid colon and SV in living subjects.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Atamanalp SS, Yildirgan MI, Basoğlu M, Kantarci M, Yılmaz I. Sigmoid colon volvulus in children: review of 19 cases. Pediatr Surg Int 2004; 20: 492-5.
  • 2. Lal SK, Morgenstern R, Vinjirayer EP, Matin A. Sigmoid volvulus an update. Gastrointest Endoscopy Clin N Am 2006;16: 175-87.
  • 3. Bhatnagar BN, Sharma CL, Gupta SN, Mathur MM, Reddy DCS. Study on the anatomical dimensions of the human sigmoid colon. Clin Anat 2004; 17: 236-43.
  • 4. Madiba TE, Haff ajee MR, Sikhosana MH. Radiological anatomy of the sigmoid colon. Surg Radiol Anat 2008; 30: 409-15.
  • 5. Raveenthiran V, Madiba TE, Atamanalp SS, De U. Volvulus of the sigmoid colon. Colorectal Dis 2010; 12: e1-e17. doi: 10.1111/j.1463-1318.2010.02262.x.
  • 6. Atamanalp SS. Sigmoid volvulus. EAJM 2010; 42: 144-9.
  • 7. Mullen R, Church NI, Yalamarthi S. Volvulus of the sigmoid colon treated by percutaneous endoscopic colectomy. Surg Laparosc Endosc Percutan Tech 2009; 19: 64-6.
  • 8. Madiba TE, Th omson SR, Corr P. Volvulus of the sigmoid colon. Gastroenterol Forum 1997; 8: 28-33.
  • 9. String ST, DeCosse JJ. Sigmoid volvulus: An examination of the mortality. Am J Surg 1971; 121: 293-7.
  • 10. Ballantyne GH, Brandner MD, Beart RW, Ilstrup DM. Volvulus of the colon. Incidence and mortality. Ann Surg 1985; 202: 83-91.
  • 11. Ertem M, Tanyel E, Erguney S, Yavuz N, Tortum O. Measurement of the sigmoid colon and its relationship with volvulus. Bull Assoc Anat 1995; 79:5-6.
  • 12. Atamanalp SS. Ileosigmoid knotting. EAJM 2009; 41: 116-9.
  • 13. Tubes MN. Volvulus of the sigmoid colon in relation to the anatomy of the pelvic colon. South Afr Med J 1963; 37: 1151-5.
  • 14. Katsarski M, Singh U. Anatomical characteristics of the sigmoid intestine and their relationship to sigmoid volvulus among the population of Uganda and the city of Plovdiv, Bulgaria. Khirurgiia Sofi ia 1977; 30: 159-63.
  • 15. Riedl P. Radiological morphology of the sigmoid colon in the Ethiopian population with reference to the occurrence of volvulus. East Afr Med J 1978; 55: 470-6.
  • 16. Shepherd JJ. Th e epidemiology and clinical presentation of sigmoid volvulus. Br J Surg 1969; 56: 353-9.
  • 17. Northeast AD, Dennison AR, Lee EG. Sigmoid volvulus: new thoughts on the epidemiology. Dis Colon Rectum 1984; 27:260-1.
  • 18. Oren D, Atamanalp SS, Aydinli B, Yildirgan MI, Basoğlu M, Polat KY et al. An algorithm for the management of sigmoid colon volvulus and the safety of primary resection: Experience with 827 cases. Dis Colon Rectum 2007; 50: 489-97.
  • 19. Atamanalp SS, Ören D, Aydınlı B, Öztürk G, Polat KY, Başoğlu M et al. Elective treatment of detorsioned sigmoid volvulus. Turk J Med Sci 2008; 38: 227-34.
  • 20. Atamanalp SS, Aydinli B, Öztürk G, Başoğlu M, Yıldırgan Mİ, Ören D et al. Classifi cation of sigmoid volvulus. Turk J Med Sci 2008; 38: 425-9.
  • 21. Sadahiro S, Ohmura T, Yamada Y, Saito T, Taki Y. Analysis of the length and surface area of each segment of the large intestine according to age, sex and physique. Surg Radiol Anat 1992; 14: 251-7.
  • 22. Yamazaki S, Yamazaki K, Miyazaki T, Matsuoka T, Yagi Y, Takazakura Y et al. An analysis on the length of the large intestine and its internal diameter amongst the Japanese. Japan Soc Colo-Proctol 1994; 47: 31-9.
  • 23. Avots-Avotins KV, Waugh DE. Colon volvulus and geriatric patient. Surg Clin North Am 1982; 62: 248-60.
  • 24. Pahlman L, Enblad P, Rudberg C, Krog M. Volvulus of the colon. Acta Chir Scand 1989; 155: 53-6.
  • 25. Arnold GJ, Nance FC. Volvulus of the sigmoid colon. Ann Surg 1973; 177: 527-37.
  • 26. Bak MP, Boley SC. Sigmoid volvulus in elderly patients. Am J Surg 1986; 151: 71-5.
  • 27. Tegegne A. Cultural bowel patterns and sex diff erence in sigmoid volvulus morbidity in an Ethiopian hospital. Trop Geogr Med 1995; 47: 212-5.
  • 28. Lord SA, Boswell WC, Hungerpiller JC. Sigmoid volvulus in pregnancy. Am Surg 1996; 62: 380-2.
  • 29. Anand AC, Sashindran VK, Mohan L. Gastrointestinal problems at high altitude. Trop Gastroenterol 2006; 27: 147-53.
  • 30. Asbun HJ, Castellanos H, Balderrama B, Ochoa J, Arismendi R, Teran H et al. Sigmoid volvulus in the high altitude of the Andes. Review of 230 cases. Dis Colon Rectum 1992; 35: 350-3.
  • 31. Shepherd JJ. Th e epidemiology and clinical presentation of sigmoid volvulus. Br J Surg 1969; 56: 353-9.
APA Atamanalp S, ÖZTÜRK G, AYDINLI B, ÖREN D (2011). Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus. , 377 - 382.
Chicago Atamanalp Sabri Selcuk,ÖZTÜRK Gürkan,AYDINLI Bülent,ÖREN Durkaya Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus. (2011): 377 - 382.
MLA Atamanalp Sabri Selcuk,ÖZTÜRK Gürkan,AYDINLI Bülent,ÖREN Durkaya Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus. , 2011, ss.377 - 382.
AMA Atamanalp S,ÖZTÜRK G,AYDINLI B,ÖREN D Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus. . 2011; 377 - 382.
Vancouver Atamanalp S,ÖZTÜRK G,AYDINLI B,ÖREN D Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus. . 2011; 377 - 382.
IEEE Atamanalp S,ÖZTÜRK G,AYDINLI B,ÖREN D "Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus." , ss.377 - 382, 2011.
ISNAD Atamanalp, Sabri Selcuk vd. "Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus". (2011), 377-382.
APA Atamanalp S, ÖZTÜRK G, AYDINLI B, ÖREN D (2011). Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus. Turkish Journal of Medical Sciences, 41(3), 377 - 382.
Chicago Atamanalp Sabri Selcuk,ÖZTÜRK Gürkan,AYDINLI Bülent,ÖREN Durkaya Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus. Turkish Journal of Medical Sciences 41, no.3 (2011): 377 - 382.
MLA Atamanalp Sabri Selcuk,ÖZTÜRK Gürkan,AYDINLI Bülent,ÖREN Durkaya Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus. Turkish Journal of Medical Sciences, vol.41, no.3, 2011, ss.377 - 382.
AMA Atamanalp S,ÖZTÜRK G,AYDINLI B,ÖREN D Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus. Turkish Journal of Medical Sciences. 2011; 41(3): 377 - 382.
Vancouver Atamanalp S,ÖZTÜRK G,AYDINLI B,ÖREN D Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus. Turkish Journal of Medical Sciences. 2011; 41(3): 377 - 382.
IEEE Atamanalp S,ÖZTÜRK G,AYDINLI B,ÖREN D "Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus." Turkish Journal of Medical Sciences, 41, ss.377 - 382, 2011.
ISNAD Atamanalp, Sabri Selcuk vd. "Th e relationship of the anatomical dimensions of the sigmoid colon with sigmoid volvulus". Turkish Journal of Medical Sciences 41/3 (2011), 377-382.