Tags

Type your tag names separated by a space and hit enter

Total proctocolectomy and ileostomy: procedure of choice for acute toxic megacolon.
Arch Surg. 1977 Apr; 112(4):518-22.AS

Abstract

Of 42 critically ill patients with toxic megacolon, 31 required emergency surgery, and 11 were treated without operation. Of the 11 patients treated by medical measures alone, there were two deaths (18%): one early, secondary to undiagnosed colonic perforation, and one late death from recurrent ulcerative colitis. Nine of ten survivors (90%) experienced continued morbidity, and five (50%) required subsequent elective surgery. Thirty-one patients required emergency operation for failure of medical treatment (19), colonic perforation (ten), and uncontrolled hemorrhage (two). Early and late morbidity was 74% (two-thirds occurring after subtotal colectomy and ileostomy). Surgical mortality was 19% (8% over the last ten years).

Links

Publisher Full Text

Authors

Sirinek KR
No affiliation info available
Tetirick CE
No affiliation info available
Thomford NR
No affiliation info available
Pace WG
No affiliation info available

MeSH

Acute DiseaseAdolescentAdultAgedColectomyColitis, UlcerativeColostomyFemaleHumansIleostomyIntestinal PerforationMaleMegacolon, ToxicMiddle AgedPostoperative Complications

Pub Type(s)

Journal Article

Language

eng

PubMed ID

849161

Citation

Sirinek, K R., et al. "Total Proctocolectomy and Ileostomy: Procedure of Choice for Acute Toxic Megacolon." Archives of Surgery (Chicago, Ill. : 1960), vol. 112, no. 4, 1977, pp. 518-22.
Sirinek KR, Tetirick CE, Thomford NR, et al. Total proctocolectomy and ileostomy: procedure of choice for acute toxic megacolon. Arch Surg. 1977;112(4):518-22.
Sirinek, K. R., Tetirick, C. E., Thomford, N. R., & Pace, W. G. (1977). Total proctocolectomy and ileostomy: procedure of choice for acute toxic megacolon. Archives of Surgery (Chicago, Ill. : 1960), 112(4), 518-22.
Sirinek KR, et al. Total Proctocolectomy and Ileostomy: Procedure of Choice for Acute Toxic Megacolon. Arch Surg. 1977;112(4):518-22. PubMed PMID: 849161.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Total proctocolectomy and ileostomy: procedure of choice for acute toxic megacolon. AU - Sirinek,K R, AU - Tetirick,C E, AU - Thomford,N R, AU - Pace,W G, PY - 1977/4/1/pubmed PY - 1977/4/1/medline PY - 1977/4/1/entrez SP - 518 EP - 22 JF - Archives of surgery (Chicago, Ill. : 1960) JO - Arch Surg VL - 112 IS - 4 N2 - Of 42 critically ill patients with toxic megacolon, 31 required emergency surgery, and 11 were treated without operation. Of the 11 patients treated by medical measures alone, there were two deaths (18%): one early, secondary to undiagnosed colonic perforation, and one late death from recurrent ulcerative colitis. Nine of ten survivors (90%) experienced continued morbidity, and five (50%) required subsequent elective surgery. Thirty-one patients required emergency operation for failure of medical treatment (19), colonic perforation (ten), and uncontrolled hemorrhage (two). Early and late morbidity was 74% (two-thirds occurring after subtotal colectomy and ileostomy). Surgical mortality was 19% (8% over the last ten years). SN - 0004-0010 UR - https://www.unboundmedicine.com/medline/citation/849161/Total_proctocolectomy_and_ileostomy:_procedure_of_choice_for_acute_toxic_megacolon_ L2 - https://jamanetwork.com/journals/jamasurgery/fullarticle/vol/112/pg/518 DB - PRIME DP - Unbound Medicine ER -