British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 5, Issue.: 4
Incidence of Sigmoid Volvulus in Northern Uganda: A Cross-Sectional Study Design
David Lagoro Kitara1* and Richard Wismayer2 1Gulu University, Faculty of Medicine, Department of Surgery, Gulu, Uganda.
2Gulu University and University of Edinburgh, Scotland, United Kingdom.
David Lagoro Kitara1* and Richard Wismayer2
1Gulu University, Faculty of Medicine, Department of Surgery, Gulu, Uganda.
(1) Chan Shen, Department of Biostatistics, MD Anderson Cancer Center, University of Texas, USA.
(1) Carlos Augusto Real Martinez, São Francisco University Medica School – Department of Colorectal Surgery, Brazil.
(2) Anonymous, Sri Ramachandra University, India.
Complete Peer review History: http://www.sciencedomain.org/review-history/6118
Aims: To determine the incidence of sigmoid volvulus in Northern Uganda.
Study Design: A cross-sectional (2 years retrospective and one year prospective) study design was conducted on patients’ medical records and those admitted, surgically managed or referred from the 19 hospitals in Northern Uganda.
Place and Duration of the Study: This study was conducted in 19 hospitals in Northern Uganda from January 2010 to December 2012.
Methodology: A cross sectional study design with a two year retrospective and one year prospective studies were conducted to determine the incidence of sigmoid volvulus in Northern Uganda. All patients’ records with a diagnosis of sigmoid volvulus in 19 hospitals were included in the study. Ethical approval was obtained from the IRB of Gulu University Medical School and Uganda National Council for Science and Technology (UNCS&T). Data analysis was conducted using STATA/IC version 12.1.
Results: The incidence of sigmoid volvulus in Northern Uganda was 251.8 per 100,000 surgical populations in 2 years. Most cases occurred in the dry season particularly from December to April and least observed from May to November. Middle aged and elderly male were the most commonly affected.
Conclusion: The incidence of sigmoid volvulus in Northern Uganda was 251.8 per 100,000 surgical populations in 2 years. The proportion of bowel obstructions due to sigmoid volvulus in Northern Uganda was 23.4% and similarly comparable with the proportion found in other African countries and higher than those in developed countries.
Note: This paper has been investigated by Uganda National Council for Science and Technology for ‘authorship dispute’. Uganda National Council for Science and Technology informed the editorial office of the journal by a letter, dated 19th January, 2015, as "We confirm that Dr. Richard Wismayer conducted the studies, wrote and submitted to us his Master thesis entitled, "Incidence and factors influencing outcome of sigmoid volvulus in northern Uganda: a prospective observational study", from which the articles were derived. Our attempt, as evidenced by the attached/enclosed letter to Dr. David Lagoro Kitara to obtain any other relevant information from him in respect of the disputed publication was futile. We therefore have no evidence, so far, that Dr. David Lagoro Kitara sought authorship consent from Dr. Richard Wismayer." This journal waited another six months to get any further communication from Uganda National Council for Science and Technology. As we have not received any other communication from the apex body of Uganda, we therefore consider the letter received on 19th Janyary-2015 as final ruling. Therefore on 17th July-2015 this manuscript has been retracted by following "SDI Correction and retraction policy". We thank all related persons/organization for kind cooperation, patience and support during this process.
Incidence; sigmoid volvulus; Northern Uganda; high fibre diet.
Full Article - PDF Page 472-479
DOI : 10.9734/BJMMR/2015/12451Review History Comments