| Autor: |
Sheldon C. Binder, Patterson Jf, Donald J. Glotzer |
| Rok vydání: |
1974 |
| Předmět: |
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| Zdroj: |
Gastroenterology. 66:909-915 |
| ISSN: |
0016-5085 |
| DOI: |
10.1016/s0016-5085(74)80165-4 |
| Popis: |
A consecutive series of 18 patients with toxic megacolon has been managed with a policy of early operative intervention if optimal medical therapy has failed to effect a rapid remission. One patient achieved a sustained remission on medical management alone. Seventeen patients underwent ileostomy and colectomy. There was one death (5.6% mortality rate) in a complication of ulcerative colitis in which the average reported mortality rate has been 23.1%. It is suggested that surgical intervention be used early enough to prevent colonic perforation and the progressive metabolic deterioration that prolonged nonoperative medical management may produce. The ominous prognosis of toxic megacolon and of its surgical management in the past can be overcome by resort to earlier surgical intervention. Colectomy, rather than decompressive enterostomy, is advocated as the operative treatment of choice. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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