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[Perforations of the colon. Apropos of 74 cases].
J Chir (Paris). 1989 Oct; 126(10):501-6.JC

Abstract

74 colic perforations were surgically handled between 1975 and 1988. Among the non-traumatic perforations, which represent 74% of this series, 39 cases (71%) complicated the course of acute diverticulitis, 9 cases (15%) were due to cancers and 7 cases (13%) were of miscellaneous origin. Traumatic perforations (26%) were iatrogenically induced in 84% (16 cases). In 78% the perforation was located in the sigmoid or recto-sigmoid. The treatment consisted in performing either a diverting colostomy (30 cases--40%) or a colic resection (44 cases--60%) with or without immediate anastomosis (respectively 10 cases--13.5% and 34 cases--46%). The overall mortality was 10.8%, which referred to etiology, turns to be 15% (3/19 cases) in traumatic perforations, 13% (5/39 cases) in diverticulitis and 0% in cancer. Related to treatment, mortality reached 23% for derivation and drainage procedure and 2% for resection. Post-operative complications were respectively 10% and 47%. Among post operative complications (22 cases--29%) 11 patients were reoperated on with an additional mortality of 18%. These results give strong evidence to the reliability and value of urgent colic resection in perforated colon and enhance the necessity of undelayed operation.

Authors+Show Affiliations

Service de Chirurgie Générale et Digestive, CHU de Strasbourg-Hautepierre.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

fre

PubMed ID

2592456

Citation

Meyer, C, et al. "[Perforations of the Colon. Apropos of 74 Cases]." Journal De Chirurgie, vol. 126, no. 10, 1989, pp. 501-6.
Meyer C, Rochas M, Rohr S, et al. [Perforations of the colon. Apropos of 74 cases]. J Chir (Paris). 1989;126(10):501-6.
Meyer, C., Rochas, M., Rohr, S., Eynard, H., & Hollender, L. F. (1989). [Perforations of the colon. Apropos of 74 cases]. Journal De Chirurgie, 126(10), 501-6.
Meyer C, et al. [Perforations of the Colon. Apropos of 74 Cases]. J Chir (Paris). 1989;126(10):501-6. PubMed PMID: 2592456.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Perforations of the colon. Apropos of 74 cases]. AU - Meyer,C, AU - Rochas,M, AU - Rohr,S, AU - Eynard,H, AU - Hollender,L F, PY - 1989/10/1/pubmed PY - 1989/10/1/medline PY - 1989/10/1/entrez SP - 501 EP - 6 JF - Journal de chirurgie JO - J Chir (Paris) VL - 126 IS - 10 N2 - 74 colic perforations were surgically handled between 1975 and 1988. Among the non-traumatic perforations, which represent 74% of this series, 39 cases (71%) complicated the course of acute diverticulitis, 9 cases (15%) were due to cancers and 7 cases (13%) were of miscellaneous origin. Traumatic perforations (26%) were iatrogenically induced in 84% (16 cases). In 78% the perforation was located in the sigmoid or recto-sigmoid. The treatment consisted in performing either a diverting colostomy (30 cases--40%) or a colic resection (44 cases--60%) with or without immediate anastomosis (respectively 10 cases--13.5% and 34 cases--46%). The overall mortality was 10.8%, which referred to etiology, turns to be 15% (3/19 cases) in traumatic perforations, 13% (5/39 cases) in diverticulitis and 0% in cancer. Related to treatment, mortality reached 23% for derivation and drainage procedure and 2% for resection. Post-operative complications were respectively 10% and 47%. Among post operative complications (22 cases--29%) 11 patients were reoperated on with an additional mortality of 18%. These results give strong evidence to the reliability and value of urgent colic resection in perforated colon and enhance the necessity of undelayed operation. SN - 0021-7697 UR - https://www.unboundmedicine.com/medline/citation/2592456/[Perforations_of_the_colon__Apropos_of_74_cases]_ L2 - https://medlineplus.gov/colonicdiseases.html DB - PRIME DP - Unbound Medicine ER -