DOLICHOMESOCOLIC PATTERN OF SIGMOID COLON MESENTERY AND DIETARY FIBRES PREDISPOSE TO SIGMOID VOLVULUS: AN OBSERVATION OF PATIENTS FROM THE “VOLVULUS BELT” OF RURAL BENGAL

Dhrubajyoti Maulik, Shouptik Basu

Abstract


Background: Sigmoid volvulus is a common cause of intestinal obstruction among the rural people of West Bengal, classifying this area as a
volvulus belt. This is a surgical emergency and an attempt to relieve the obstruction must be done promptly. The management may range from a
Resection and Anastomosis of the Sigmoid Colon, Hartmann's procedure to Sigmoidopexy and Flatus tube decompression in patient's not fit for
surgery.
Methods: Our study is a prospective observation study that aims to establish a relationship between the dietary habits and the dimensions of the
sigmoid colon mesentery, which eventually predispose to intestinal obstruction.
Results: An intraoperative measurement of the Sigmoid colon and its mesentery showed, a mean length of the distended sigmoid colon to be
76.5821 ± 2.6150 (cms). The mean vertical length of the mesentery from the base to the antimesentric border was 34.7641 ± 0.2397 (cms). The
mean Horizontal length of the Sigmoid Mesocolon in the middle 14.6294 ± 1.3749 (cms). The mean Horizontal length of the Sigmoid Mesocolon at
the Base 6.3357 ± 0.0956 (cms). Dietary habits of soaked puffed rice, unpeeled vegetables add to the stool bulk eventually leading to constipation
and Volvulus in males with Dolichomesocolic pattern of Sigmoid colon mesentery.


Keywords


sigmoid, colon, volvulus, mesentery, dolichomesentry

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