title: Acute sigmoid volvulus: results of surgical treatment in the teaching hospitals of Bamako.
abstract: OBJECTIVE
  The aim was to evaluate the results of surgical treatment of occlusion of the sigmoid colon due to volvulus.
  
  
  METHODS
  This was a retrospective study from 1996 to 2010 of all patients undergoing surgery for sigmoid volvulus in surgical wards of the University Hospital of Bamako.
  
  
  RESULTS
  A total of 417 patients were identified including 379 men and 38 women. The mean patient age was 45.7 ± 18.3 years. The general condition of the patients was good in 70.5% and altered in 29.5% of cases. Colonic necrosis was present in 80 patients (19.2%). Single-stage resection with immediate anastomosis was performed in 149 patients (35.73%). Two-stage surgery was performed in 268 cases (64.27%). The initial stage of the two-stage procedure was colostomy in 167 cases and simple detorsion in 101 cases. The surgical approach had an impact on mortality in patients who were in poor general condition. Single-stage surgery resulted in higher mortality (12/149; 8.05%) than two-stage surgery (5/268; 1.87%), and the difference was statistically significant (P=0.0005).
  
  
  CONCLUSIONS
  Single-stage surgery for sigmoid volvulus carries a high risk of death when it is performed in patients with poor general condition. Indications for surgery must take into account the patient's general condition and the viability of the torsed sigmoid colon.
authors.affiliation: Faculté de médecine et d'odonto stomatologie (FMOS) de l'université des sciences, des techniques et des technologies de Bamako (USTTB), Bamako, Mali; Service de chirurgie B, CHU du Point G, BP 333, Bamako, Mali. Electronic address: traored2003@yahoo.fr.
authors.forename: D
authors.initials: D
authors.lastname: Traoré
authors.affiliation: Faculté de médecine et d'odonto stomatologie (FMOS) de l'université des sciences, des techniques et des technologies de Bamako (USTTB), Bamako, Mali; Service de chirurgie A, CHU du Point G, Bamako, Mali.
authors.forename: Z Z
authors.initials: ZZ
authors.lastname: Sanogo
authors.affiliation: Service de chirurgie B, CHU du Point G, BP 333, Bamako, Mali.
authors.forename: B
authors.initials: B
authors.lastname: Bengaly
authors.affiliation: Faculté de médecine et d'odonto stomatologie (FMOS) de l'université des sciences, des techniques et des technologies de Bamako (USTTB), Bamako, Mali; Service de chirurgie B, CHU du Point G, BP 333, Bamako, Mali.
authors.forename: F
authors.initials: F
authors.lastname: Sissoko
authors.affiliation: Faculté de médecine et d'odonto stomatologie (FMOS) de l'université des sciences, des techniques et des technologies de Bamako (USTTB), Bamako, Mali; Service de chirurgie B, CHU du Point G, BP 333, Bamako, Mali.
authors.forename: B
authors.initials: B
authors.lastname: Coulibaly
authors.affiliation: Faculté de médecine et d'odonto stomatologie (FMOS) de l'université des sciences, des techniques et des technologies de Bamako (USTTB), Bamako, Mali; Service de chirurgie B, CHU du Point G, BP 333, Bamako, Mali.
authors.forename: B
authors.initials: B
authors.lastname: Togola
authors.affiliation: Service de chirurgie B, CHU du Point G, BP 333, Bamako, Mali.
authors.forename: I
authors.initials: I
authors.lastname: Traoré
authors.affiliation: Service d'anesthésie et de réanimation, CHU du Point G, Bamako, Mali.
authors.forename: D
authors.initials: D
authors.lastname: Goïta
authors.affiliation: Faculté de médecine et d'odonto stomatologie (FMOS) de l'université des sciences, des techniques et des technologies de Bamako (USTTB), Bamako, Mali; Service de chirurgie A, CHU du Point G, Bamako, Mali.
authors.forename: S
authors.initials: S
authors.lastname: Keïta
authors.affiliation: Faculté de médecine et d'odonto stomatologie (FMOS) de l'université des sciences, des techniques et des technologies de Bamako (USTTB), Bamako, Mali; Service de chirurgie générale, CHU Gabriel Touré, Bamako, Mali.
authors.forename: A P
authors.initials: AP
authors.lastname: Togo
authors.affiliation: Faculté de médecine et d'odonto stomatologie (FMOS) de l'université des sciences, des techniques et des technologies de Bamako (USTTB), Bamako, Mali; Service de chirurgie générale, CHU Gabriel Touré, Bamako, Mali.
authors.forename: G
authors.initials: G
authors.lastname: Diallo
authors.affiliation: Faculté de médecine et d'odonto stomatologie (FMOS) de l'université des sciences, des techniques et des technologies de Bamako (USTTB), Bamako, Mali; Service de chirurgie A, CHU du Point G, Bamako, Mali.
authors.forename: D
authors.initials: D
authors.lastname: Sangaré
authors.affiliation: Faculté de médecine et d'odonto stomatologie (FMOS) de l'université des sciences, des techniques et des technologies de Bamako (USTTB), Bamako, Mali; Service de chirurgie B, CHU du Point G, BP 333, Bamako, Mali.
authors.forename: N
authors.initials: N
authors.lastname: Ongoïba
authors.affiliation: Faculté de médecine et d'odonto stomatologie (FMOS) de l'université des sciences, des techniques et des technologies de Bamako (USTTB), Bamako, Mali; Service de chirurgie B, CHU du Point G, BP 333, Bamako, Mali.
authors.forename: A K
authors.initials: AK
authors.lastname: Koumaré
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy; D015897:Comorbidity; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D045822:Intestinal Volvulus / Q000401:mortality / Q000601:surgery*; D008297:Male; D008302:Mali; D008875:Middle Aged; D012189:Retrospective Studies; D012810:Sigmoid Diseases / Q000401:mortality / Q000601:surgery*; D016896:Treatment Outcome
keywords: Morbidity; Mortality; Sigmoid; Surgery; Volvulus