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Ileosigmoid Knot

Ileosigmoid Knot Abstract • The ileosigmoid knot (ISK) is a variant of midgut volvulus in which a loop of ileum wraps around the base of an elongated sigmoid colon and passes beneath itself forming a knot. A long small bowel mesentery and a sigmoid colon on a narrow pedicle are necessary prerequisites, but the wide variation in incidence of ISK across the world seems to be related to dietary habits. Rapid fluid resuscitation, preoperative broad-spectrum antibiotics, methylprednisolone in the presence of shock, and immediate laparotomy may improve the high mortality. (Arch Surg 115:761-763, 1980) References 1. Shamblin JR: Volvulus of the sigmoid colon: With entrapment and strangulation of the small bowel . South Med J 58:1279-1291, 1965.Crossref 2. Shepherd JJ: Ninety-two cases of ileosigmoid knotting in Uganda . Br J Surg 54:561-566, 1967.Crossref 3. Faltin R: On ileosigmoid knotting . Acta Chir Scand 80:1-25, 1937. 4. Young WS, White A, Grave GF: The radiology of the ileosigmoid knot . Clin Radiol 29:211-216, 1978.Crossref 5. Arnold GJ, Nance FC: Volvulus of the sigmoid colon . Ann Surg 177:527-533, 1973.Crossref 6. Spaskukozky S: Volvulus Intest Inorum Als/Trankheit des Hungernden Menschen . Arch Klin Chir 91:211-225, 1909. 7. Duke JH Jr, Yar MS: Primary small bowel volvulus . Arch Surg 112:685-688, 1977.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1980.01380060059017
Publisher site
See Article on Publisher Site

Abstract

Abstract • The ileosigmoid knot (ISK) is a variant of midgut volvulus in which a loop of ileum wraps around the base of an elongated sigmoid colon and passes beneath itself forming a knot. A long small bowel mesentery and a sigmoid colon on a narrow pedicle are necessary prerequisites, but the wide variation in incidence of ISK across the world seems to be related to dietary habits. Rapid fluid resuscitation, preoperative broad-spectrum antibiotics, methylprednisolone in the presence of shock, and immediate laparotomy may improve the high mortality. (Arch Surg 115:761-763, 1980) References 1. Shamblin JR: Volvulus of the sigmoid colon: With entrapment and strangulation of the small bowel . South Med J 58:1279-1291, 1965.Crossref 2. Shepherd JJ: Ninety-two cases of ileosigmoid knotting in Uganda . Br J Surg 54:561-566, 1967.Crossref 3. Faltin R: On ileosigmoid knotting . Acta Chir Scand 80:1-25, 1937. 4. Young WS, White A, Grave GF: The radiology of the ileosigmoid knot . Clin Radiol 29:211-216, 1978.Crossref 5. Arnold GJ, Nance FC: Volvulus of the sigmoid colon . Ann Surg 177:527-533, 1973.Crossref 6. Spaskukozky S: Volvulus Intest Inorum Als/Trankheit des Hungernden Menschen . Arch Klin Chir 91:211-225, 1909. 7. Duke JH Jr, Yar MS: Primary small bowel volvulus . Arch Surg 112:685-688, 1977.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1980

References