Different clinicopathological features of non-elderly sigmoid volvulus patients
Küçük Resim Yok
Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose Sigmoid volvulus is frequently seen in male patients over 60 years old. Here, we aimed to investigate the causes of sigmoid volvulus developing in patients under 60 years of age. Methods Patients diagnosed with sigmoid volvulus between 2009 and 2018 were retrospectively analyzed. The patients were divided into two as under 60 years old and above. The co-morbidity, mortality, morbidity, complications, age, and gender data were analyzed. Results A total of 134 patients were included. The median age was 70 (19-92), <= 59 age patients constituted 24% of all patients. Eighty-one percent (109/134) of the patients were male, and male/female ratio was lower in <= 59 age patients (2.0 vs 6.2,p = 0.01). Diseases that caused and underlying colon dilatation (mental retardation with hypomotility, pregnancy-puerperium, Hirschsprung's disease, etc.) were more common in <= 59 age patients, but no observed at <= 60 age patients (15.2% vs 0%,p = 0.0007). While there was no difference between the two groups in terms of mortality, it was proportionally higher in the <= 60 age group (3.0% vs. 13.9%,p = 0.12). Conclusion By decreasing age, male dominance disappears progressively, and it is likely to have an underlying colonic hypomotility in young sigmoid volvulus patients.
Açıklama
Anahtar Kelimeler
Dolichocolon, Volvulus, Sigmoid, Parkinson, Mental retardation, Hirschsprung's disease
Kaynak
International Journal of Colorectal Disease
WoS Q Değeri
Q2
Scopus Q Değeri
Q2
Cilt
35
Sayı
10
