Specialized Program

URI for this collectionhttps://rps.wku.edu.et/handle/123456789/46883

Browse

Filter results by typing the first few letters
Now showing 1 - 1 of 1
  • No Thumbnail Available
    Item
    TREATMENT OUTCOME OF ADULT SIGMOID VOLVULUS PATIENTS & ASSOCIATED FACTORS IN A FIVE YEARS CROSS SECTIONAL STUDY AT WOLKITE UNIVERSITY COMPRENSIVE SPECIALIZED HOSPITAL,SEPTEMBER 1 2020 TO SEPTEMBER 30 2025 WOLKITE,ETHIOPIA.
    (wolkite University, 2026-06) DR.MEKONNEN ADMASU
    Background: Sigmoid volvulus is the commonest cause of large bowel obstruction in many regions of the world. Ethiopia is among the countries where sigmoid volvulus representing a leading cause of intestinal obstruction. Outcome of treatment are influenced by multiple factors. Understanding the treatment outcomes and identifying predictors of poor prognosis are essential for improving surgical decision making ,reducing morbidity & mortality & guiding prevention measures. Objective: To asses the treatment outcome of adult Sigmoid volvulus patients and associated factors at Wolkite University comprensive specialized Hospital over a five years retrospective cross sectional study from September 1 2020 TO September 30 2025,Central Ethiopia. Method: A Hospital based cross-sectional study review of surgical records among all adult patients with sigmoid volvulus managed at Wolkite University Comprensive Specialized Hospital during the study period . Data was collected with structured questioner by trained data collectors. The collected data were checked for its completeness and analyzed using Statistical Package for the Social Sciences (SPSS) . Descriptive and analytic studies was performed. P value ≤ 0.05 with 95% confidence interval (CI) were used to interpret the findings. Results: Overall, 19.56% of patients had unfavorable outcomes with [CI 12-29.1]. Factors independently associated with unfavorable outcome were age >60 years(AOR = 3.205; 95% CI: 1.340–7.666), delayed presentation (AOR = 5.415; 95% CI: 1.452– 20.189), presence of comorbidity(AOR = 4.603; 95% CI: 1.220–17.357) , preoperative peritonitis (AOR = 5.895; 95% CI: 1.412–24.602), intraoperative shock (AOR = 4.774; 95% CI: 1.234–18.466), and gangrenous bowel(AOR = 5.213; 95% CI: 1.193–22.783). Conclusion & Recommendation; Patients with sigmoid volvulus during our study had experienced significant proportion complications. Advanced age, delayed presentation, comorbidity, preoperative peritonitis, intraoperative shock, and gangrenous bowel were independent predictors of unfavorable outcomes. Strengthening early referral systems, and promoting timely health-seeking behavior especially for high-risk patients are essential to reduce morbidity and mortality associated with sigmoid volvulus