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[Surgical treatment of toxic megacolon in ulcerative rectocolitis. Analysis of 16 patients].
G E N. 1989 Oct-Dec; 43(4):266-71.GE

Abstract

The clinical aspects, surgical treatment and outcome of 16 consecutive patients treated for toxic megacolon secondary to ulcerative colitis at the 1st department of surgery at the university of Rome between 1976 and 1987 were reviewed. The surgical management consisted in total colectomy and immediate ileo-rectal anastomosis, without protective ileostomy in 14 patients and total colectomy with terminal ileostomy and ileorectal anastomosis in 2 patients, 5 months later. No postoperative mortality was observe the immediate complications were: anastomotic leakage, (one case) and rectal bleeding (three cases). The late complications were: ileo-anastomotic stump fistula and perforation (two cases). Protectomy, due to colitis recrudescence, in the rectal remnant 10 months after surgery. These results encourage the total colectomy with immediate ileorectal anastomosis for the treatment of toxic megacolon.

Authors

Flumeri EN
No affiliation info available
Caporale A
No affiliation info available
Giuliani A
No affiliation info available
Teneriello F
No affiliation info available
Marum MY
No affiliation info available
Rivas Y
No affiliation info available

MeSH

AdolescentAdultAnastomosis, SurgicalColectomyColitis, UlcerativeFemaleHumansIleostomyIleumMaleMegacolon, ToxicMiddle AgedPostoperative ComplicationsRectumRetrospective Studies

Pub Type(s)

English Abstract
Journal Article
Review

Language

spa

PubMed ID

2535446

Citation

Flumeri, E N., et al. "[Surgical Treatment of Toxic Megacolon in Ulcerative Rectocolitis. Analysis of 16 Patients]." G.E.N, vol. 43, no. 4, 1989, pp. 266-71.
Flumeri EN, Caporale A, Giuliani A, et al. [Surgical treatment of toxic megacolon in ulcerative rectocolitis. Analysis of 16 patients]. G E N. 1989;43(4):266-71.
Flumeri, E. N., Caporale, A., Giuliani, A., Teneriello, F., Marum, M. Y., & Rivas, Y. (1989). [Surgical treatment of toxic megacolon in ulcerative rectocolitis. Analysis of 16 patients]. G.E.N, 43(4), 266-71.
Flumeri EN, et al. [Surgical Treatment of Toxic Megacolon in Ulcerative Rectocolitis. Analysis of 16 Patients]. G E N. 1989 Oct-Dec;43(4):266-71. PubMed PMID: 2535446.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical treatment of toxic megacolon in ulcerative rectocolitis. Analysis of 16 patients]. AU - Flumeri,E N, AU - Caporale,A, AU - Giuliani,A, AU - Teneriello,F, AU - Marum,M Y, AU - Rivas,Y, PY - 1989/10/1/pubmed PY - 1989/10/1/medline PY - 1989/10/1/entrez SP - 266 EP - 71 JF - G.E.N JO - G E N VL - 43 IS - 4 N2 - The clinical aspects, surgical treatment and outcome of 16 consecutive patients treated for toxic megacolon secondary to ulcerative colitis at the 1st department of surgery at the university of Rome between 1976 and 1987 were reviewed. The surgical management consisted in total colectomy and immediate ileo-rectal anastomosis, without protective ileostomy in 14 patients and total colectomy with terminal ileostomy and ileorectal anastomosis in 2 patients, 5 months later. No postoperative mortality was observe the immediate complications were: anastomotic leakage, (one case) and rectal bleeding (three cases). The late complications were: ileo-anastomotic stump fistula and perforation (two cases). Protectomy, due to colitis recrudescence, in the rectal remnant 10 months after surgery. These results encourage the total colectomy with immediate ileorectal anastomosis for the treatment of toxic megacolon. SN - 0016-3503 UR - https://www.unboundmedicine.com/medline/citation/2535446/[Surgical_treatment_of_toxic_megacolon_in_ulcerative_rectocolitis__Analysis_of_16_patients]_ DB - PRIME DP - Unbound Medicine ER -