Author(s)

Satoru Yamaguchi^*, Yosuke Shida, Keisuke Ihara, Hideo Ogata, Hiroto Muroi, Takeshi Yamaguchi, Masanobu Nakajima, Kinro Sasaki, Takashi Tsuchioka, Hiroyuki Kato

Department of Surgery I, Dokkyo Medical University, Mibu, Japan.

Objective: This study aimed to investigate factors that predict bowel gangrene in sigmoid colon volvulus patients. Methods: Nine sigmoid colon volvulus cases were retrospectively analyzed for prediction of bowel necrosis. Laboratory parameters were extracted from medical records, and subsequently, a receiving operator curve for each parameter was drawn. Using these cut-off values, a comparison between the “with necrosis” and “without necrosis” groups was performed. Results: In the emergent cases, necrosis of the intestine was observed in 4 cases and not observed in 4 cases. The values of area under the curve were high in metabolic acidosis and white blood cell counts. For base excess, the cut off value was -2.4 mEq/L. A lower base excess is significantly associated with bowel gangrene (p = 0.029). For white blood cell count, the cut off value is 8400/mm³. A lower white blood cell counts is significantly associated with bowel gangrene (p = 0.029). Conclusions: In addition to physiological findings, blood gas analysis and white blood cell counts are useful to detect ischemia due to sigmoid volvulus.

Predictive Marker, Bowel Gangrene, Japanese, Sigmoid Colon Volvulus

Yamaguchi, S. , Shida, Y. , Ihara, K. , Ogata, H. , Muroi, H. , Yamaguchi, T. , Nakajima, M. , Sasaki, K. , Tsuchioka, T. and Kato, H. (2018) Base Excess and White Blood Cell Counts Predict Bowel Gangrene in Japanese Sigmoid Colon Volvulus Patients. Open Journal of Gastroenterology, 8, 140-146. doi: 10.4236/ojgas.2018.84015.