Classification of sigmoid volvulus

BAŞOĞLU, Mahmut; ÖREN, Durkaya; ÖZTÜRK, Gürkan; Kantarci, Mecit; AYDINLI, Bülent; ATAMANALP, S. Selçuk; YILDIRGAN, M. İlhan

Classification of sigmoid volvulus

S. Selçuk ATAMANALP, (Atatürk Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Erzurum, Türkiye)

Bülent AYDINLI, (Atatürk Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Erzurum, Türkiye)

Gürkan ÖZTÜRK, (Atatürk Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Erzurum, Türkiye)

Mahmut BAŞOĞLU, (Atatürk Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Erzurum, Türkiye)

M. İlhan YILDIRGAN, (Atatürk Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Erzurum, Türkiye)

Durkaya ÖREN, (Atatürk Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Erzurum, Türkiye)

Mecit KANTARCI (Atatürk Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Erzurum, Türkiye)

Turkish Journal of Medical Sciences

1 0

Yıl: 2008 Cilt: 38 Sayı: 5 Sayfa Aralığı: 425 - 429 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Classification of sigmoid volvulus

Öz:

Amaç: Bu çalışmanın amacı, sigmoid volvulusun (SV) cerrahi tedavisi ve prognozunda yardımcı olacak bir sınıflama oluşturmaktır. Yöntem ve Gereç: 41.5 yıllık dönemde cerrahi tedavi yapılan 420 SV’li hastanın kayıtları retrospektif olarak incelendi. Mortalite ile anlamlı ilişkisi olan ameliyat öncesi ve ameliyat kriterleri belirlendi. Bulgular: 420 hastanın 68’i öldü (% 16.2). 60 yaşın üzerinde olma (P < 0.001), eş hastalık (P < 0.001), şok varlığı (P < 0.001) ve sigmoid kolonda gangren varlığı (P < 0.001) ile mortalite arasında anlamlı ilişki vardı. Bu kriterler kullanılarak bir sınıflama yapıldı. Sonuç: Mevcut seri, klinik deneyimimiz ve literatür bulguları değerlendirilerek oluşturulan yeni sınıflamada her bir sınıf için önerilen tedavi seçenekleri ve olası mortalite oranları belirlendi. Bu sınıflama, SV’nin cerrahi tedavisi ve prognozunu belirlemede yararlı olabilir.

Anahtar Kelime: Kolon, sigmoid Seyir Ölüm oranı İntestinal volvulus Yaş dağılımı Geriyedönük çalışma

Konular: Cerrahi

Sigmoid volvulusun sınıflaması

Öz:

Aim: The aim of this study was to establish a classification that will aid in the surgical treatment and prognosis of sigmoid volvulus (SV). Materials and Methods: The records of 420 patients with SV who were treated surgically during a 41.5- year period were reviewed retrospectively. The preoperative and operative criteria that were significantly correlated with mortality were determined. Results: Of 420 patients, 68 (16.2%) died. Age over 60 years (P < 0.001), associated disease (P < 0.001), presence of shock (P < 0.001), and presence of sigmoid colon gangrene (P < 0.001) were significantly correlated with mortality. A classification was made using these criteria. Conclusions: Recommended treatment options and potential mortality rates were determined for each class in the new classification based on the evaluation of the present series, our clinical experience, and literature findings. This classification may be helpful in determination of the surgical treatment and prognosis of SV.

Anahtar Kelime: Intestinal Volvulus Age Distribution Retrospective Studies Colon, Sigmoid Prognosis Mortality

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ATAMANALP S, AYDINLI B, ÖZTÜRK G, BAŞOĞLU M, YILDIRGAN M, ÖREN D, Kantarci M (2008). Classification of sigmoid volvulus. , 425 - 429.
Chicago	ATAMANALP S. Selçuk,AYDINLI Bülent,ÖZTÜRK Gürkan,BAŞOĞLU Mahmut,YILDIRGAN M. İlhan,ÖREN Durkaya,Kantarci Mecit Classification of sigmoid volvulus. (2008): 425 - 429.
MLA	ATAMANALP S. Selçuk,AYDINLI Bülent,ÖZTÜRK Gürkan,BAŞOĞLU Mahmut,YILDIRGAN M. İlhan,ÖREN Durkaya,Kantarci Mecit Classification of sigmoid volvulus. , 2008, ss.425 - 429.
AMA	ATAMANALP S,AYDINLI B,ÖZTÜRK G,BAŞOĞLU M,YILDIRGAN M,ÖREN D,Kantarci M Classification of sigmoid volvulus. . 2008; 425 - 429.
Vancouver	ATAMANALP S,AYDINLI B,ÖZTÜRK G,BAŞOĞLU M,YILDIRGAN M,ÖREN D,Kantarci M Classification of sigmoid volvulus. . 2008; 425 - 429.
IEEE	ATAMANALP S,AYDINLI B,ÖZTÜRK G,BAŞOĞLU M,YILDIRGAN M,ÖREN D,Kantarci M "Classification of sigmoid volvulus." , ss.425 - 429, 2008.
ISNAD	ATAMANALP, S. Selçuk vd. "Classification of sigmoid volvulus". (2008), 425-429.

APA	ATAMANALP S, AYDINLI B, ÖZTÜRK G, BAŞOĞLU M, YILDIRGAN M, ÖREN D, Kantarci M (2008). Classification of sigmoid volvulus. Turkish Journal of Medical Sciences, 38(5), 425 - 429.
Chicago	ATAMANALP S. Selçuk,AYDINLI Bülent,ÖZTÜRK Gürkan,BAŞOĞLU Mahmut,YILDIRGAN M. İlhan,ÖREN Durkaya,Kantarci Mecit Classification of sigmoid volvulus. Turkish Journal of Medical Sciences 38, no.5 (2008): 425 - 429.
MLA	ATAMANALP S. Selçuk,AYDINLI Bülent,ÖZTÜRK Gürkan,BAŞOĞLU Mahmut,YILDIRGAN M. İlhan,ÖREN Durkaya,Kantarci Mecit Classification of sigmoid volvulus. Turkish Journal of Medical Sciences, vol.38, no.5, 2008, ss.425 - 429.
AMA	ATAMANALP S,AYDINLI B,ÖZTÜRK G,BAŞOĞLU M,YILDIRGAN M,ÖREN D,Kantarci M Classification of sigmoid volvulus. Turkish Journal of Medical Sciences. 2008; 38(5): 425 - 429.
Vancouver	ATAMANALP S,AYDINLI B,ÖZTÜRK G,BAŞOĞLU M,YILDIRGAN M,ÖREN D,Kantarci M Classification of sigmoid volvulus. Turkish Journal of Medical Sciences. 2008; 38(5): 425 - 429.
IEEE	ATAMANALP S,AYDINLI B,ÖZTÜRK G,BAŞOĞLU M,YILDIRGAN M,ÖREN D,Kantarci M "Classification of sigmoid volvulus." Turkish Journal of Medical Sciences, 38, ss.425 - 429, 2008.
ISNAD	ATAMANALP, S. Selçuk vd. "Classification of sigmoid volvulus". Turkish Journal of Medical Sciences 38/5 (2008), 425-429.