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[Two-stage surgical treatment of acute complicated ulcerative colitis: indications, observations and results (author's transl)].
Dtsch Med Wochenschr. 1977 Jun 10; 102(23):860-5.DM

Abstract

Among 195 patients with ulcerative colitis 30 had acute complications--toxic megacolon with or without perforations. In 16 primary treatment consisted of proctocolectomy in one stage: all patients died. Since 1971, 14 were treated by primary multiple enterostomies, with only three deaths. Indications for the latter procedure are given if after 48-72 hours of conservative treatment there is no response. Definitive treatment consists, almost without exception, of secondary proctocolectomy during the period of remission. Indications for the two-stage procedure should be extended to all acute cases requiring operation.

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Publisher Full Text

Authors

Ewerwahn WJ
No affiliation info available
Winkler R
No affiliation info available

MeSH

AdultColectomyColitis, UlcerativeColonic DiseasesFemaleHumansIntestinal PerforationMaleMegacolon, ToxicMiddle AgedPregnancyRemission, SpontaneousTime Factors

Pub Type(s)

Clinical Trial
Controlled Clinical Trial
English Abstract
Journal Article

Language

ger

PubMed ID

872745

Citation

Ewerwahn, W J., and R Winkler. "[Two-stage Surgical Treatment of Acute Complicated Ulcerative Colitis: Indications, Observations and Results (author's Transl)]." Deutsche Medizinische Wochenschrift (1946), vol. 102, no. 23, 1977, pp. 860-5.
Ewerwahn WJ, Winkler R. [Two-stage surgical treatment of acute complicated ulcerative colitis: indications, observations and results (author's transl)]. Dtsch Med Wochenschr. 1977;102(23):860-5.
Ewerwahn, W. J., & Winkler, R. (1977). [Two-stage surgical treatment of acute complicated ulcerative colitis: indications, observations and results (author's transl)]. Deutsche Medizinische Wochenschrift (1946), 102(23), 860-5.
Ewerwahn WJ, Winkler R. [Two-stage Surgical Treatment of Acute Complicated Ulcerative Colitis: Indications, Observations and Results (author's Transl)]. Dtsch Med Wochenschr. 1977 Jun 10;102(23):860-5. PubMed PMID: 872745.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Two-stage surgical treatment of acute complicated ulcerative colitis: indications, observations and results (author's transl)]. AU - Ewerwahn,W J, AU - Winkler,R, PY - 1977/6/10/pubmed PY - 1977/6/10/medline PY - 1977/6/10/entrez SP - 860 EP - 5 JF - Deutsche medizinische Wochenschrift (1946) JO - Dtsch Med Wochenschr VL - 102 IS - 23 N2 - Among 195 patients with ulcerative colitis 30 had acute complications--toxic megacolon with or without perforations. In 16 primary treatment consisted of proctocolectomy in one stage: all patients died. Since 1971, 14 were treated by primary multiple enterostomies, with only three deaths. Indications for the latter procedure are given if after 48-72 hours of conservative treatment there is no response. Definitive treatment consists, almost without exception, of secondary proctocolectomy during the period of remission. Indications for the two-stage procedure should be extended to all acute cases requiring operation. SN - 0012-0472 UR - https://www.unboundmedicine.com/medline/citation/872745/[Two_stage_surgical_treatment_of_acute_complicated_ulcerative_colitis:_indications_observations_and_results__author's_transl_]_ L2 - https://www.thieme-connect.com/DOI/DOI?10.1055/s-0028-1104978 DB - PRIME DP - Unbound Medicine ER -