Total proctocolectomy and ileostomy: Procedure of choice for acute toxic megacolon

Kenneth R Sirinek, C. E. Tetirick, N. R. Thomford, W. G. Pace

Research output: Contribution to journalArticle

21 Citations (Scopus)

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).

Original languageEnglish (US)
Pages (from-to)518-522
Number of pages5
JournalArchives of Surgery
Volume112
Issue number4
StatePublished - 1977
Externally publishedYes

Fingerprint

Toxic Megacolon
Ileostomy
Emergencies
Morbidity
Colectomy
Treatment Failure
Ulcerative Colitis
Critical Illness
Survivors
Hemorrhage
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Sirinek, K. R., Tetirick, C. E., Thomford, N. R., & Pace, W. G. (1977). Total proctocolectomy and ileostomy: Procedure of choice for acute toxic megacolon. Archives of Surgery, 112(4), 518-522.

Total proctocolectomy and ileostomy : Procedure of choice for acute toxic megacolon. / Sirinek, Kenneth R; Tetirick, C. E.; Thomford, N. R.; Pace, W. G.

In: Archives of Surgery, Vol. 112, No. 4, 1977, p. 518-522.

Research output: Contribution to journalArticle

Sirinek, KR, Tetirick, CE, Thomford, NR & Pace, WG 1977, 'Total proctocolectomy and ileostomy: Procedure of choice for acute toxic megacolon', Archives of Surgery, vol. 112, no. 4, pp. 518-522.
Sirinek, Kenneth R ; Tetirick, C. E. ; Thomford, N. R. ; Pace, W. G. / Total proctocolectomy and ileostomy : Procedure of choice for acute toxic megacolon. In: Archives of Surgery. 1977 ; Vol. 112, No. 4. pp. 518-522.
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