Ileosigmoid knotting: A review of 923 cases

  • Sabri Selcuk Atamanalp Ataturk University, Faculty of Medicine, Department of General Surgery, Erzurum
  • Esra Disci, Assist. Prof. MD. Ataturk University Faculty of Medicine Department of General Surgery
  • Rifat Peksoz, Assist. Prof. MD. Ataturk University Faculty of Medicine Department of General Surgery
  • Refik Selim Atamanalp, Assist. MD. Prof. Dr. Cemil Tascioglu City Hospital Department of Pathology İstanbul
  • Cansu Tatar Atamanalp, Assist. MD. Haseki Education and Research Hospital Department of Pediatrics İstanbul
Keywords: Sigmoid colon, Ileum, Ileosigmoid knotting, Intestinal obstruction

Abstract

Objectives: Ileosigmoid knotting (ISK) is a rare intestinal obstruction form worldwide. The aim of this study was to investigate changing trends in ISK.

Methods: The Web of Science and PubMed databases were electronically searched to find all publications to evaluate all epidemiological, etiological, clinical, laboratory, radiological, therapeutic, and prognostic factors in ISK.

Results: Most of the cases were reported from Asian and African countries. Mean age was 43.9 years with a 79.9%/20.1% of male/female ratio. Main symptom period was 48.1 hours, while the most common clinical features were abdominal pain/tenderness (99.1%), distention (88.3%), and obstipation/constipation (58.8%). Abdominal X-ray radiography, computerized tomography (CT), and magnetic resonance imaging (MRI) were diagnostic in 8.2%, 96.2%, and 100.0%, respectively, while the total diagnostic accuracy rate was 20.8%. Bowels were gangrenous in 85.6% of the patients. Ileum resection was applied in 14.0% of the cases, while sigmoid colon resection in 7.6%, and both segment resection in 67.1%. The mortality rate was 22.7%, while the morbidity rate was also 22.7%.

Conclusion: ISK is a rare disease, but it is still catastrophic despite its two-century recognised past. As an exception, diagnostic convenience arising from CT or MRI looks like the most important change over the last half-century.

doi: https://doi.org/10.12669/pjms.38.3.5320

How to cite this:
Atamanalp SS, Disci E, Peksoz R, Atamanalp RS, Tatar Atamanalp C. Ileosigmoid knotting: A review of 923 cases. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.5320

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2022-01-15
How to Cite
Atamanalp, S. S., Disci, E., Peksoz, R., Atamanalp, R. S., & Tatar Atamanalp, C. (2022). Ileosigmoid knotting: A review of 923 cases. Pakistan Journal of Medical Sciences, 38(3). https://doi.org/10.12669/pjms.38.3.5320
Section
Original Articles