Colectomy in Patients with Acute Colitis: A Systematic Review

Teeuwen, P. H. E.; Stommel, Martijn W J; Bremers, André J. A.; Wilt, Gert Jan van der; Jong, Dirk J. de; Bleichrodt, Robert P.

doi:10.1007/s11605-008-0792-4

Cited by 71 publications

(49 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We found that complications within 30 days after colectomy occurred in 30 of 77 patients (39%)a frequency of complications comparable to other reports [34,35]. A mortality rate of 2 of 77 patients (2.6%) is also similar to recent reports from the past decade, being in the range 1.5-1.8% [36,37]. The two patients who died after colectomy had substantial comorbidity.…”

Section: Discussionsupporting

confidence: 89%

Cytomegalovirus infection and postoperative complications in patients with ulcerative colitis undergoing colectomy

Olaisen¹,

Rydning²,

Martinsen³

et al. 2014

Scandinavian Journal of Gastroenterology

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 89%

Cytomegalovirus infection and postoperative complications in patients with ulcerative colitis undergoing colectomy

Olaisen¹,

Rydning²,

Martinsen³

et al. 2014

Scandinavian Journal of Gastroenterology

View full text Add to dashboard Cite

show abstract

“…Urgent surgery is associated with its own morbidity and mortality risks. In a review of recently published articles, the all-cause morbidity and mortality rates associated with surgery for severe colitis were 40.1 and 1.8 , respectively 4 .…”

Section: Discussionmentioning

confidence: 99%

A Case of Total Proctocolectomy by Reduced Port Surgery for Refractory Ulcerative Colitis

Takahiro:筆頭著者:責任著者

Kijima

Sato

et al. 2015

Showa Univ J Med Sci

View full text Add to dashboard Cite

: We report the case of a 40-year-old woman with refractory ulcerative colitis UC whose condition did not improve despite aggressive medical therapy with a corticosteroid and an immunosuppressor. The patient underwent a total proctocolectomy by reduced port surgery RPS . A vertical incision of 30 mm was made through the umbilicus, and a laparoscope port and two working or assistant laparoscopic ports were inserted through the fascia. A 5 mm port was used as the terminal ileostomy site and another 5 mm port was used as a drain site marked preoperatively . The operator used a standard laparoscopic 5 mm atraumatic grasper for the left hand and a standard laparoscopic dissector or an Enseal energy device for the right hand. An ileal J-pouch was created extra-corporeally from the terminal ileum and then an ileal pouch-anal anastomosis IPAA was created by hand suturing. The diverting loop ileostomy was brought out through the right iliac fossa, and there was 30 cm of ileum between the diverting loop ileostomy and the IPAA. The surgical procedures were very similar to those normally used in laparoscopic colectomy. The duration of the surgery was 465 min, and blood loss was estimated at 240 ml. No intraoperative complications occurred, and conversion to conventional laparoscopic or open surgery was not needed. Laparoscopic total proctocolectomy using RPS compared with standard laparoscopic surgery may be preferred for young women because it reduces the wound size, minimizes postoperative pain, and enhances cosmesis.

show abstract

“…76 Pooled results showed high rates of post operative mortality (8%) and morbidity (51%). However, considering only those studies published after 1995, postoperative mortality was only 2% and post operative morbidity was 42%, highlighting the improvements in both medical and surgical management.…”

Section: Short-term Outcomesmentioning

confidence: 97%

Surgical management of IBD—from an open to a laparoscopic approach

Maggiori

Panis

2013

Nat Rev Gastroenterol Hepatol

View full text Add to dashboard Cite

Surgery is a key feature of IBD management. Up to 70% of patients with Crohn's disease and 35% of patients with ulcerative colitis will require surgery during the course of their disease. This Review provides an overview of IBD surgical management, focusing on the potential benefits and drawbacks of laparoscopy compared with open surgery. Emergency and elective indications for both laparoscopic and open surgery are detailed for patients with ulcerative colitis and Crohn's disease. Evidence-based comparative results of these surgical approaches are discussed, along with factors that influence patient outcomes. Upcoming new techniques for IBD surgical management, including single-port surgery, are also presented.

show abstract

Colectomy in Patients with Acute Colitis: A Systematic Review

Cited by 71 publications

References 63 publications

Cytomegalovirus infection and postoperative complications in patients with ulcerative colitis undergoing colectomy

Cytomegalovirus infection and postoperative complications in patients with ulcerative colitis undergoing colectomy

A Case of Total Proctocolectomy by Reduced Port Surgery for Refractory Ulcerative Colitis

Surgical management of IBD—from an open to a laparoscopic approach

Contact Info

Product

Resources

About