잠시만 기다려 주세요. 로딩중입니다.

장 염전증의 임상적 고찰

Clinical Analysis of Intestinal Volvulus

대한대장항문학회지 1999년 15권 5호 p.368 ~ 375
신승현 ( Shin Seung-Hyun ) - 순천향대학교 천안병원 외과학교실

백무준 ( Baek Moo-Jun ) - 순천향대학교 천안병원 외과학교실
김성용 ( Kim Sung-Yong ) - 순천향대학교 천안병원 외과학교실
박내경 ( Park Nae-Kyung ) - 순천향대학교 의과대학 천안병원 외과학교실
이문수 ( Lee Moon-Soo ) - 순천향대학교 천안병원 외과학교실
송옥평 ( Song Ok-Pyung ) - 순천향대학교 의과대학 천안병원 외과학교실

Abstract


Purpose: The intestinal volvulus is difficult to diagnose, and if the treatment and diagnosis are delayed, there is a risk of high mortality. This study was performed to ensure the more proper management method and diagnostic modality of volvulus.

Methods: Between 1985 and 1998, 16 patients with a diagnosis of colonic and small intestinal volvulus were managed in Soonchunhyang University Chunan Hospital. Medical charts were reviewed, retrospectively and follow-up was done.

Results: 15 among the 16 patients with volvulus underwent the operation. The one case was diagnosed and expired before operation. The resection of the lesion and primary anastomosis had been generally selected as the procedure of choice. Segmental resection of the sigmoid colon with primary anastomosis was performed on 7 cases of the sigmoid volvulus. There were 6 cases of the small bowel volvulus, of which 5 cases got a segmental resection of the small bowel with primary repair and the one got a total resection of the small bowel with gastrocolostomy. The right hemicolectomy was performed in 2 cases which were the right colon volvulus. 9 cases of morbidity were developed; there were 5 cases of wound infection and others were enterocutaneous fistula, pulmonary infection, and septic shock respectively. There were three mortality.

Conclusion: If the small bowel volvulus is present or gangrenous signs are developed, and the management of the intestinal volvulus is delayed, there can be serious complications and the course can be life-threatening. Therefore, if gangrene or small bowel volvulus are suspected, operative management should be seriously considered.

키워드

Intestinal volvulus;Gangrene
원문 및 링크아웃 정보
  
등재저널 정보
KCI
KoreaMed
KAMS