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Toxic megacolon: results of emergency colectomy.
Can J Surg. 1977 Jan; 20(1):36-8.CJ

Abstract

In order to assess the results of emergency colectomy for toxic megacolon in ulcerative colitis, the records of 40 patients treated over a 16-year period were reviewed. The diagnosis of toxic;colon was confirmed by a combination of clinical, radiologic, operative and pathologic examinations. Steroids were part of the treatment before operation in 36 patients. The surgical procedures included subtotal celectomy in 37 patients and total proctocolectomy in 3. Fecal spillage was recognized in 10 procedures. Two patients died postoperatively, but in neither had fecal contamination been observed. The findings of this review support the use of colectomy as the surgical treatment for toxic megacolon.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

832202

Citation

Patel, S C., and R M. Stone. "Toxic Megacolon: Results of Emergency Colectomy." Canadian Journal of Surgery. Journal Canadien De Chirurgie, vol. 20, no. 1, 1977, pp. 36-8.
Patel SC, Stone RM. Toxic megacolon: results of emergency colectomy. Can J Surg. 1977;20(1):36-8.
Patel, S. C., & Stone, R. M. (1977). Toxic megacolon: results of emergency colectomy. Canadian Journal of Surgery. Journal Canadien De Chirurgie, 20(1), 36-8.
Patel SC, Stone RM. Toxic Megacolon: Results of Emergency Colectomy. Can J Surg. 1977;20(1):36-8. PubMed PMID: 832202.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Toxic megacolon: results of emergency colectomy. AU - Patel,S C, AU - Stone,R M, PY - 1977/1/1/pubmed PY - 1977/1/1/medline PY - 1977/1/1/entrez SP - 36 EP - 8 JF - Canadian journal of surgery. Journal canadien de chirurgie JO - Can J Surg VL - 20 IS - 1 N2 - In order to assess the results of emergency colectomy for toxic megacolon in ulcerative colitis, the records of 40 patients treated over a 16-year period were reviewed. The diagnosis of toxic;colon was confirmed by a combination of clinical, radiologic, operative and pathologic examinations. Steroids were part of the treatment before operation in 36 patients. The surgical procedures included subtotal celectomy in 37 patients and total proctocolectomy in 3. Fecal spillage was recognized in 10 procedures. Two patients died postoperatively, but in neither had fecal contamination been observed. The findings of this review support the use of colectomy as the surgical treatment for toxic megacolon. SN - 0008-428X UR - https://www.unboundmedicine.com/medline/citation/832202/Toxic_megacolon:_results_of_emergency_colectomy_ L2 - https://www.canjsurg.ca/lookup/pmidlookup?view=long&pmid=832202 DB - PRIME DP - Unbound Medicine ER -