Abstract |
Of 42 critically ill patients with toxic megacolon, 31 required emergency surgery, and 11 were treated without operation. Of the 11 patients treated by medical measures alone, there were two deaths (18%): one early, secondary to undiagnosed colonic perforation, and one late death from recurrent ulcerative colitis. Nine of ten survivors (90%) experienced continued morbidity, and five (50%) required subsequent elective surgery. Thirty-one patients required emergency operation for failure of medical treatment (19), colonic perforation (ten), and uncontrolled hemorrhage (two). Early and late morbidity was 74% (two-thirds occurring after subtotal colectomy and ileostomy). Surgical mortality was 19% (8% over the last ten years).
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Authors | K R Sirinek, C E Tetirick, N R Thomford, W G Pace |
Journal | Archives of surgery (Chicago, Ill. : 1960)
(Arch Surg)
Vol. 112
Issue 4
Pg. 518-22
(Apr 1977)
ISSN: 0004-0010 [Print] United States |
PMID | 849161
(Publication Type: Journal Article)
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Topics |
- Acute Disease
- Adolescent
- Adult
- Aged
- Colectomy
(methods)
- Colitis, Ulcerative
(surgery)
- Colostomy
- Female
- Humans
- Ileostomy
(methods)
- Intestinal Perforation
(mortality, surgery)
- Male
- Megacolon, Toxic
(mortality, surgery)
- Middle Aged
- Postoperative Complications
(mortality)
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