title: Independent Predictors of Treatment Modality for Penetrating Colon Injury.
abstract: OBJECTIVE
  We aimed to evaluate the independent factors of the treatment of penetrating colon injuries in a teaching and research hospital in light of some of the most commonly cited considerations affecting the decision as to whether to perform primary repair or divert.
  
  
  METHODS
  Hospital records of patients between January 2004 and January 2007 were reviewed retrospectively. Fifty-seven patients were included and divided into two groups. Group A consisted of patients (n = 43) who had primary repair or resection and anastomosis, and Group B consisted of patients (n = 14) who had diverting colostomy. The degree of fecal contamination was assessed by reviewing the detailed operative dictation. The type of colon injury, as determined from the colon injury scale (CIS) of the American Association for the Surgery of Trauma (AAST), and the penetrating abdominal trauma index (PATI) were recorded.
  
  
  RESULTS
  Age, sex, presence of shock on admission, location of the injury, and colon-related or non-colonrelated complications between the two groups were not significant. Stab or gunshot injury, operation time, degree of fecal contamination (grade 1/2/3), transfusion, PATI score, hospital stay, and associated organ injury were significantly different in the two groups (p < 0.05).
  
  
  CONCLUSIONS
  Despite the fact that CIS, fecal contamination, transfusion, PATI and delayed operation affect the decision about the procedure, primary repair can be performed safely on patients with penetrating colon injuries.
authors.affiliation: , 124. sok No4/18 Evka3 Bornova, 35050, Izmir, Turkey. serhatgur@yahoo.com.
authors.forename: Akif S
authors.initials: AS
authors.lastname: Gür
authors.forename: Kemal
authors.initials: K
authors.lastname: Atahan
authors.forename: Ercüment
authors.initials: E
authors.lastname: Tarcan
authors.forename: Evren
authors.initials: E
authors.lastname: Durak
authors.forename: Atilla
authors.initials: A
authors.lastname: Çökmez
authors.affiliation: 1st Surgical Department, Izmir Atatürk Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Küpeli
keywords: Abdominal trauma; Colonic injury; PATI score
references.citation: Ann Surg. 1991 May;213(5):492-7; discussion 497-8
references.pmid: 2025069
references.citation: J Trauma. 1995 Nov;39(5):895-901
references.pmid: 7474005
references.citation: Am J Surg. 2007 Dec;194(6):746-9; discussion 750
references.pmid: 18005765
references.citation: J Trauma. 1990 Nov;30(11):1427-9
references.pmid: 2231822
references.citation: J Trauma. 2001 May;50(5):765-75
references.pmid: 11371831
references.citation: Ann Surg. 1979 Oct;190(4):430-6
references.pmid: 384941
references.citation: J Trauma. 1996 Aug;41(2):271-5
references.pmid: 8760535
references.citation: Am Surg. 2004 Jan;70(1):75-9
references.pmid: 14964554
references.citation: Am J Surg. 1999 Jan;177(1):42-7
references.pmid: 10037307
references.citation: Injury. 2004 Mar;35(3):217-22
references.pmid: 15124785
references.citation: Ann Surg. 1989 Jun;209(6):728-33; 733-4
references.pmid: 2730183
references.citation: Cochrane Database Syst Rev. 2003;(3):CD002247
references.pmid: 12917927
references.citation: Am J Surg. 2004 Dec;188(6):663-70
references.pmid: 15619481
references.citation: Dis Colon Rectum. 2006 Aug;49(8):1203-22
references.pmid: 16858663
references.citation: J Am Coll Surg. 1998 Jul;187(1):58-63
references.pmid: 9660026
references.citation: Ann Surg. 1981 May;193(5):619-23
references.pmid: 7235766
references.citation: Am Surg. 1980 Feb;46(2):100-4
references.pmid: 7369626
references.citation: Ann R Coll Surg Engl. 1992 Nov;74(6):381-4
references.pmid: 1471831