Acute Large Bowel Obstruction
| Autor: | James H. Mason, Paul C. Vanderbilt, Mitchell P. Byrne, Herbert B. Greenlee, Francis E. Banich, Robert J. Freeark, Edward J. Pienkos |
|---|---|
| Rok vydání: | 1974 |
| Předmět: |
Adult
Male medicine.medical_specialty Hospitals Veterans Population Hospitals Community Hospitals General Diverticulitis Colonic Large bowel obstruction Colonic Diseases Colostomy medicine Carcinoma Humans education Sigmoidoscopy Colectomy Aged Medical Audit education.field_of_study business.industry Age Factors Middle Aged Diverticulitis medicine.disease Community hospital Volvulus Surgery Radiography Sigmoid Neoplasms Intestinal Perforation Colonic Neoplasms Etiology Female business Administration (government) Intestinal Obstruction |
| Zdroj: | Archives of Surgery. 108:470 |
| ISSN: | 0004-0010 |
| DOI: | 10.1001/archsurg.1974.01350280076013 |
| Popis: | Three hundred patients with large bowel obstruction were treated by emergency operation in a county, Veterans Administration, and community hospital population. Primary carcinoma of the colon, volvulus, and diverticulitis were the etiological factors in 84% of the patients. The combined hospital mortality of 37% was distributed as follows: county, 42%; VA, 40%; and community, 30%. Mortality from obstructing carcinoma was similar in all institutions. This was apparently related to the frequent insidious onset. In contrast, the community hospital had a decided edge in the successful management of volvulus and obstructing diverticulitis. The more dramatic onset of these two diseases prompted the private patient to seek medical consultation earlier. |
| Databáze: | OpenAIRE |
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