Tags

Type your tag names separated by a space and hit enter

Resection and primary anastomosis for diverticulitis with perforation and peritonitis.
Can J Surg. 1982 May; 25(3):314-6.CJ

Abstract

Primary resection is the treatment of choice for diverticulitis of the colon with perforation and generalized peritonitis. Although there has been controversy concerning the management of the bowel ends after resection, for the last 20 years immediate anastomosis has been gaining increasing support. Between 1970 and 1981, at the Hôpital du Sacré-Coeur in Montreal, 15 patients having diverticulitis with perforation and diffuse spreading peritonitis who fulfilled specific criteria were treated by primary resection of the perforated segment of bowel and immediate anastomosis. The criteria for operation were : (a) the bowel must not be distended; (b) the bowel should be empty of feces; (c) edema of bowel wall at the resection site must be minimal; (d) the distal segment of colon should be above the peritoneal reflection; (e) there should be no fecal contamination; (f) the patient's general condition should be reasonably good. If these criteria were met, the procedure was safe and gave satisfactory results. In the authors' series, postoperative hospital stay was reduced considerably (it averaged 11 days). There was one anastomotic pulmonary edema.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7083080

Citation

Farkouh, E, et al. "Resection and Primary Anastomosis for Diverticulitis With Perforation and Peritonitis." Canadian Journal of Surgery. Journal Canadien De Chirurgie, vol. 25, no. 3, 1982, pp. 314-6.
Farkouh E, Hellou G, Allard M, et al. Resection and primary anastomosis for diverticulitis with perforation and peritonitis. Can J Surg. 1982;25(3):314-6.
Farkouh, E., Hellou, G., Allard, M., & Atlas, H. (1982). Resection and primary anastomosis for diverticulitis with perforation and peritonitis. Canadian Journal of Surgery. Journal Canadien De Chirurgie, 25(3), 314-6.
Farkouh E, et al. Resection and Primary Anastomosis for Diverticulitis With Perforation and Peritonitis. Can J Surg. 1982;25(3):314-6. PubMed PMID: 7083080.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Resection and primary anastomosis for diverticulitis with perforation and peritonitis. AU - Farkouh,E, AU - Hellou,G, AU - Allard,M, AU - Atlas,H, PY - 1982/5/1/pubmed PY - 1982/5/1/medline PY - 1982/5/1/entrez SP - 314 EP - 6 JF - Canadian journal of surgery. Journal canadien de chirurgie JO - Can J Surg VL - 25 IS - 3 N2 - Primary resection is the treatment of choice for diverticulitis of the colon with perforation and generalized peritonitis. Although there has been controversy concerning the management of the bowel ends after resection, for the last 20 years immediate anastomosis has been gaining increasing support. Between 1970 and 1981, at the Hôpital du Sacré-Coeur in Montreal, 15 patients having diverticulitis with perforation and diffuse spreading peritonitis who fulfilled specific criteria were treated by primary resection of the perforated segment of bowel and immediate anastomosis. The criteria for operation were : (a) the bowel must not be distended; (b) the bowel should be empty of feces; (c) edema of bowel wall at the resection site must be minimal; (d) the distal segment of colon should be above the peritoneal reflection; (e) there should be no fecal contamination; (f) the patient's general condition should be reasonably good. If these criteria were met, the procedure was safe and gave satisfactory results. In the authors' series, postoperative hospital stay was reduced considerably (it averaged 11 days). There was one anastomotic pulmonary edema. SN - 0008-428X UR - https://www.unboundmedicine.com/medline/citation/7083080/Resection_and_primary_anastomosis_for_diverticulitis_with_perforation_and_peritonitis_ L2 - http://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -