Clinical study on perforation of the colon.

概要

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During the past 15 years, twenty patients with colonic perforation underwent surgery:<BR>The etiology of perforation was classified as follows : secondary perforation (11), iatrogenic perforation (5), idiopathic perforation (3), and traumatic perforation (1).<BR>The diagnosis of colonic perforation was obtained in only six patients. Free air in abdominal plain film was demonstrated in 60% of patients.<BR>The patients who underwent surgery within 6 hours had no complication after surgery and survied. A motility rate was 20%. Out of four patients who died, three patients had another cancerous lesions which had been treated by anticancer agents and radiation, and one patient suffered from toxic megacolon due to ulcerative colitis. These patients were definitely severe compromised hosts before perforation.<BR>It is concluded that early diagnosis and surgery are important for the treatment of colonic perforation and intensive care is necessary for compromised hosts.
日本大腸肛門病学会の論文