Emergency abdominal colectomy with primary anastomosis

Diseases of the Colon and Rectum
B G Terry, R W Beart

Abstract

From 1968 to 1979, 18 patients underwent emergency abdominal colectomy with ileorectal anastomosis. Indications for operation included massive colonic bleeding (11), obstructing carcinoma (5), toxic megacolon (1), and enterocolitis (1). Five patients died postoperatively (27.8 per cent). Causes of death included sepsis, upper gastrointestinal bleeding, and respiratory failure. All had peritonitis, and five had documented anastomotic leaks. Seven of the surviving patients had significant morbidity from the procedure which included anastomotic leak, small bowel obstruction, wound infection, sepsis, and pulmonary emboli. Only six patients survived without complications. Although others have written about the safety of emergency subtotal colectomy with ileorectal anastomosis, our experience suggests this procedure is associated with excessive morbidity and mortality.

References

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Citations

Jul 1, 1994·Diseases of the Colon and Rectum·J P Arnaud, R Bergamaschi
Mar 24, 1998·Diseases of the Colon and Rectum·B ForloniD Frosali
Mar 24, 1998·Diseases of the Colon and Rectum·T C Hsu
Jan 1, 1984·Diseases of the Colon and Rectum·J Hoffmann, H E Jensen
Jan 1, 1987·Diseases of the Colon and Rectum·Y S FengS S Chen
Mar 24, 1983·The New England Journal of Medicine·C E Welch, R A Malt
May 1, 1984·Annals of Surgery·G L IrvinJ A Caruana
Jun 1, 1986·Annals of Surgery·H W ScottR B Adkins
Mar 9, 1985·British Medical Journal·I P DonaldS P Wilkinson
Jul 11, 2008·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Ilker SuculluMehmet Levhi Akin
Jun 1, 1982·American Journal of Surgery·U Ohman
Jan 30, 1999·Gastrointestinal Endoscopy·G R Zuckerman, C Prakash
Jul 1, 1991·Diseases of the Colon and Rectum·J J MurrayM C Veidenheimer
Jan 1, 1985·Langenbecks Archiv für Chirurgie·J WedellW Castrup

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