{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:34:32Z","timestamp":1792290872826,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T00:00:00Z","timestamp":1711324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Bowel obstruction is a mechanical or functional blockade of intestinal contents from evacuation to the adjacent distal bowel or external environment. It poses significant morbidity and mortality in both high\u2010income and low\u2010to\u2010middle\u2010income countries. Ileosigmoid knotting is a special form of obstruction where the small bowel often ileum wraps around the sigmoid colon or vice versa. It is the severest form of bowel obstruction, involving both the small and large bowels in a compound manner. It is common where sigmoid volvulus is common and geographic areas with a bulky diet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An institution\u2010based retrospective cohort study was employed among purposively selected 40 surgical patients with ileosigmoid knotting records from July 2020 to July 2023 at Jimma University Medical Center. To estimate and compare the survival probabilities, the Kaplan\u2010Meir method and log\u2010rank test were used. A Cox\u2010regression analysis was fitted to identify independent predictors of time to death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among a cohort of 40 patients followed for 347 person\u2010days at Jimma University Medical Center, 11 (27.5%) had died. The overall incidence rate of death was 3.2 (95% CI 1.8, 5.7) per 100 person\u2010days. In multivariable Cox\u2010regression analysis, age (AHR\u00a0=\u00a01.15; 95% CI: 1.04\u20131.28), shock at presentation (AHR\u00a0=\u00a030.50: 95% CI 1.25\u2013742.54), comorbidities (AHR\u00a0=\u00a05.81; 95% CI 1.19\u201328.23), pulse rate intraoperatively (AHR\u00a0=\u00a01.19; 95% CI: 1.01\u20131.40), postoperative pulse rate (AHR\u00a0=\u00a01.07; 95% CI: 1.01\u20131.14) were independently associated with time to death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The incidence of death among surgical patients with ileosigmoid knotting was high and also had a shorter median survival time. Age, shock at presentation, comorbidities, pulse rate intraoperatively, and postoperative pulse rate were found to be statistically significant predictors of time to death and outcome among surgical patients with Ileosigmoid knotting.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12155","type":"journal-article","created":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T15:35:16Z","timestamp":1711380916000},"page":"1331-1347","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of clinical profiles, surgical experience and outcomes of ileosigmoid knotting in low\u2010resource setup: A retrospective cohort study at Jimma University Medical Center"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9267-0906","authenticated-orcid":false,"given":"Nebiyou Simegnew","family":"Bayleyegn","sequence":"first","affiliation":[{"name":"Department of Surgery Faculty of Health Sciences Institute of Health Jimma University  Jimma Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abebe Nega","family":"Zelelew","sequence":"additional","affiliation":[{"name":"Department of Statistics College of Natural Science Jimma University  Jimma Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assefa Legesse","family":"Sisay","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Institute of Health Faculty of Public Health Jimma University  Jimma Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,25]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"362","volume-title":"Intestinal Obstruction: Evaluation and Management","author":"Jackson P.","year":"2018"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2008.01.003"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2015.06.008"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9329"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000008316"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0175866"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2004.00361.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijso.2023.100664"},{"key":"e_1_2_12_10_1","first-page":"116","article-title":"Ileosigmoid Knotting","volume":"41","author":"Atamanalp S. 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