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Emergency and urgent operations for ulcerative colitis. The procedure of choice.
Arch Surg. 1975 Mar; 110(3):284-9.AS

Abstract

Eighty consecutive emergency and urgent colectomies for ulcerative colitis were performed. One-stage total proctocolectomy was performed in 37 patients, with a 9.1% mortality; ileostomy with subtotal colectomy was performed in 43, with a 7.0% mortality. The overall mortality was 7.5%. Postoperative morbidity after total proctocolectomy (mean postoperative hospitalization, 27.6 days; nonseptic complication rate, 29.4%; septic complication rate, 29.4%) was not substantially different from that after subtotal colectomy (postoperative hospitalization, 33.3 days; nonseptic complications, 45.0%; septic complications, 35.0%). Survivors of subtotal colectomy required abdominal-perineal resection of the colorectal remnant in 75.7% of patients, and no patient had successful subsequent ileorectal anastomosis. It is suggested that one-stage total proctocolectomy be adopted as the surgical procedure of choice in emergency or urgent operations for ulcerative colitis.

Authors

Binder SC
No affiliation info available
Miller HH
No affiliation info available
Deterling RA
No affiliation info available

MeSH

AbdomenAbscessAnemiaBlood SedimentationColectomyColitis, UlcerativeDiarrheaEmergenciesGastrointestinal HemorrhageHumansIleostomyIntestinal PerforationLength of StayMegacolon, ToxicMelenaPelvisPostoperative ComplicationsRecurrenceRetrospective StudiesSepsisSurgical Wound InfectionTachycardia

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1078773

Citation

Binder, S C., et al. "Emergency and Urgent Operations for Ulcerative Colitis. the Procedure of Choice." Archives of Surgery (Chicago, Ill. : 1960), vol. 110, no. 3, 1975, pp. 284-9.
Binder SC, Miller HH, Deterling RA. Emergency and urgent operations for ulcerative colitis. The procedure of choice. Arch Surg. 1975;110(3):284-9.
Binder, S. C., Miller, H. H., & Deterling, R. A. (1975). Emergency and urgent operations for ulcerative colitis. The procedure of choice. Archives of Surgery (Chicago, Ill. : 1960), 110(3), 284-9.
Binder SC, Miller HH, Deterling RA. Emergency and Urgent Operations for Ulcerative Colitis. the Procedure of Choice. Arch Surg. 1975;110(3):284-9. PubMed PMID: 1078773.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emergency and urgent operations for ulcerative colitis. The procedure of choice. AU - Binder,S C, AU - Miller,H H, AU - Deterling,R A,Jr PY - 1975/3/11/pubmed PY - 2001/3/28/medline PY - 1975/3/11/entrez SP - 284 EP - 9 JF - Archives of surgery (Chicago, Ill. : 1960) JO - Arch Surg VL - 110 IS - 3 N2 - Eighty consecutive emergency and urgent colectomies for ulcerative colitis were performed. One-stage total proctocolectomy was performed in 37 patients, with a 9.1% mortality; ileostomy with subtotal colectomy was performed in 43, with a 7.0% mortality. The overall mortality was 7.5%. Postoperative morbidity after total proctocolectomy (mean postoperative hospitalization, 27.6 days; nonseptic complication rate, 29.4%; septic complication rate, 29.4%) was not substantially different from that after subtotal colectomy (postoperative hospitalization, 33.3 days; nonseptic complications, 45.0%; septic complications, 35.0%). Survivors of subtotal colectomy required abdominal-perineal resection of the colorectal remnant in 75.7% of patients, and no patient had successful subsequent ileorectal anastomosis. It is suggested that one-stage total proctocolectomy be adopted as the surgical procedure of choice in emergency or urgent operations for ulcerative colitis. SN - 0004-0010 UR - https://www.unboundmedicine.com/medline/citation/1078773/Emergency_and_urgent_operations_for_ulcerative_colitis__The_procedure_of_choice_ DB - PRIME DP - Unbound Medicine ER -