[Two-stage surgical treatment of acute complicated ulcerative colitis: indications, observations and results (author's transl)].
Among 195 patients with ulcerative colitis 30 had acute complications--toxic megacolon with or without perforations. In 16 primary treatment consisted of proctocolectomy in one stage: all patients died. Since 1971, 14 were treated by primary multiple enterostomies, with only three deaths. Indications for the latter procedure are given if after 48-72 hours of conservative treatment there is no response. Definitive treatment consists, almost without exception, of secondary proctocolectomy during the period of remission. Indications for the two-stage procedure should be extended to all acute cases requiring operation.
D000328:Adult; D003082:Colectomy / Q000401:mortality; D003093:Colitis, Ulcerative / Q000150:complications / Q000601:surgery*; D003108:Colonic Diseases / Q000150:complications; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications; D008297:Male; D008532:Megacolon, Toxic / Q000601:surgery; D008875:Middle Aged; D011247:Pregnancy; D012075:Remission, Spontaneous; D013997:Time Factors
Die zweizeitige chirurgische Therapie der akuten komplizierten Colitis ulcerosa. Indikation, Erfahrungen und Ergebnisse