[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.66.254. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
June 1977

Primary Small Bowel VolvulusCause and Management

Author Affiliations

From the Departments of Surgery, University of Texas Medical School at Houston and Nangarhar University Faculty of Medicine, Jalalabad, Afghanistan.

Arch Surg. 1977;112(6):685-688. doi:10.1001/archsurg.1977.01370060017002
Abstract

• Most reports of patients with primary small bowel volvulus have indicated that the ingestion of a high-bulk vegetable diet in some way contributes to the development of this condition. During a recent 13-month period at Nangarhar University Hospital at Jalalabad, Afghanistan, the frequency of occurrence among 26 patients was found to be related to abrupt changes in dietary intake. The first and last months of the study were Ramadan, the annual period in which Mohammedans abstain from all oral intake during daylight hours and take a single large meal after dark. During these two isolated months, there was a ten fold and nine fold increase, respectively, in the incidence of the condition. Early diagnosis and surgical intervention offer the only possibility for minimizing an otherwise excessive mortality.

(Arch Surg 112:685-688, 1977)

×