{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T16:08:24Z","timestamp":1774627704100,"version":"3.50.1"},"reference-count":5,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T00:00:00Z","timestamp":1425513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Ileosigmoidal knotting is an unusual form of acute intestinal obstruction characterized by closed\u2010loop obstruction of both ileum and sigmoid colon. We present 36 cases of ileosigmoidal knotting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was designed to examine preoperative, operative, and postoperative findings of the 36 patients with ileosigmoidal knotting who were surgically treated in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ecmettin <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>rbakan <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>niversity's <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>eram <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>edical <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>aculty (<jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>onya, <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>urkey) throughout a 26\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age was 55 (range, 47\u201361) years. The most common symptoms were abdominal pain, distention, obstipation, and vomiting, and the most common signs were abdominal tenderness and distention. The preoperative diagnosis was acute obstructed bowel in all patients. After resuscitation, all patients underwent emergency laparotomy. The most common type of ileosigmoidal knotting was type <jats:styled-content style=\"fixed-case\">IA<\/jats:styled-content>, in which the active ileum encircled the passive sigmoid in a clockwise manner. There was gangrene in both ileum and sigmoid colon in all patients. All ischemic bowels including ileum and sigmoid colon were resected and the continuity was carried out using primary anastomosis or <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>artmann's procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Ileosigmoidal knotting is a rare disease but its preoperative diagnosis is difficult. In cases of knotting there is no form of conservative treatment. Resective surgery is absolutely necessary.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.108","type":"journal-article","created":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T10:52:07Z","timestamp":1425552727000},"page":"234-236","source":"Crossref","is-referenced-by-count":5,"title":["Ileosigmoidal knotting, an unusual form of acute intestinal obstruction"],"prefix":"10.1002","volume":"2","author":[{"given":"Murat","family":"Cakir","sequence":"first","affiliation":[{"name":"Meram Medical Faculty Department of General Surgery Necmettin Erbakan University  Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Tekin","sequence":"additional","affiliation":[{"name":"Meram Medical Faculty Department of General Surgery Necmettin Erbakan University  Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tevfik","family":"Kucukkartallar","sequence":"additional","affiliation":[{"name":"Meram Medical Faculty Department of General Surgery Necmettin Erbakan University  Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adil","family":"Kartal","sequence":"additional","affiliation":[{"name":"Meram Medical Faculty Department of General Surgery Necmettin Erbakan University  Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,3,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800840526"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0528-9"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02052263"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-006-0255-6"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/0971-3026.82301"}],"container-title":["Acute Medicine &amp; Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fams2.108","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T12:22:48Z","timestamp":1695471768000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ams2.108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,5]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1002\/ams2.108"],"URL":"https:\/\/doi.org\/10.1002\/ams2.108","archive":["Portico"],"relation":{},"ISSN":["2052-8817","2052-8817"],"issn-type":[{"value":"2052-8817","type":"print"},{"value":"2052-8817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3,5]]}}}