Tags

Type your tag names separated by a space and hit enter

Current surgical approach to toxic megacolon.
Surg Gynecol Obstet. 1976 Jul; 143(1):26-30.SG

Abstract

Presented evidence illustrates that proctocolectomy performed as an emergency procedure is frequently less than adequate in salvaging patients with toxic megacolon, and a current mortality of 27 per cent is recorded. The mortality and morbidity of this disease are directly related to the delay in recognition and treatment of this complication and to iatrogenic perforation of the colon during colectomy, which results in fecal peritonitis. This is particularly evident when definitive operation is postponed for more than five days after the initial diagnosis of toxic megacolon. The rationale of current adherence to proctocolectomy for this complication is questioned, and a plea is made for the recognition of the life-saving potential for ileostomy-colostomy for selected patients and also for closer and earlier collaboration between surgeon and internist during the management of these patients.

Authors

Fry PD
No affiliation info available
Atkinson KG
No affiliation info available

MeSH

AdultBritish ColumbiaColectomyColitis, UlcerativeColostomyFemaleHumansIleostomyIntestinal PerforationMaleMegacolon, ToxicPostoperative ComplicationsRetrospective StudiesSurgical Procedures, OperativeTime Factors

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

936046

Citation

Fry, P D., and K G. Atkinson. "Current Surgical Approach to Toxic Megacolon." Surgery, Gynecology & Obstetrics, vol. 143, no. 1, 1976, pp. 26-30.
Fry PD, Atkinson KG. Current surgical approach to toxic megacolon. Surg Gynecol Obstet. 1976;143(1):26-30.
Fry, P. D., & Atkinson, K. G. (1976). Current surgical approach to toxic megacolon. Surgery, Gynecology & Obstetrics, 143(1), 26-30.
Fry PD, Atkinson KG. Current Surgical Approach to Toxic Megacolon. Surg Gynecol Obstet. 1976;143(1):26-30. PubMed PMID: 936046.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Current surgical approach to toxic megacolon. AU - Fry,P D, AU - Atkinson,K G, PY - 1976/7/1/pubmed PY - 1976/7/1/medline PY - 1976/7/1/entrez SP - 26 EP - 30 JF - Surgery, gynecology & obstetrics JO - Surg Gynecol Obstet VL - 143 IS - 1 N2 - Presented evidence illustrates that proctocolectomy performed as an emergency procedure is frequently less than adequate in salvaging patients with toxic megacolon, and a current mortality of 27 per cent is recorded. The mortality and morbidity of this disease are directly related to the delay in recognition and treatment of this complication and to iatrogenic perforation of the colon during colectomy, which results in fecal peritonitis. This is particularly evident when definitive operation is postponed for more than five days after the initial diagnosis of toxic megacolon. The rationale of current adherence to proctocolectomy for this complication is questioned, and a plea is made for the recognition of the life-saving potential for ileostomy-colostomy for selected patients and also for closer and earlier collaboration between surgeon and internist during the management of these patients. SN - 0039-6087 UR - https://www.unboundmedicine.com/medline/citation/936046/Current_surgical_approach_to_toxic_megacolon_ L2 - https://www.diseaseinfosearch.org/result/4555 DB - PRIME DP - Unbound Medicine ER -