Surgical management of colonic diverticulitis with free perforation or abscess formation
Both medical and economic considerations seem to point to the necessity of reappraisal of the traditional three stage method of treating diverticulitis with free perforation or gross abscess. Of the various alternatives, primary resection with anastomosis or primary excision with the proximal loop b...
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| Veröffentlicht in: | The American journal of surgery 1969-02, Vol.117 (2), p.265-269 |
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| container_title | The American journal of surgery |
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| creator | Rodkey, Grant V. Welch, Claude E. |
| description | Both medical and economic considerations seem to point to the necessity of reappraisal of the traditional three stage method of treating diverticulitis with free perforation or gross abscess. Of the various alternatives, primary resection with anastomosis or primary excision with the proximal loop being brought out as a colostomy and closure or exteriorization of the distal loop seem the most attractive. The latter method combines the safety of the staged operations with the advantages of primary extirpation of the diseased bowel and seems to merit a more general trial. Primary resection and anastomosis without a concomitant colostomy, although undoubtedly applicable in specific instances, cannot yet be recommended for general use in these complicated cases. |
| doi_str_mv | 10.1016/0002-9610(69)90313-4 |
| format | Article |
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Of the various alternatives, primary resection with anastomosis or primary excision with the proximal loop being brought out as a colostomy and closure or exteriorization of the distal loop seem the most attractive. The latter method combines the safety of the staged operations with the advantages of primary extirpation of the diseased bowel and seems to merit a more general trial. Primary resection and anastomosis without a concomitant colostomy, although undoubtedly applicable in specific instances, cannot yet be recommended for general use in these complicated cases.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/0002-9610(69)90313-4</identifier><identifier>PMID: 5773940</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abscess - complications ; Adolescent ; Adult ; Aged ; Child ; Colostomy ; Diverticulitis, Colonic - surgery ; Drainage ; Female ; Humans ; Intestinal Diseases - complications ; Intestinal Perforation - complications ; Male ; Middle Aged ; Postoperative Complications ; Surgical Wound Dehiscence ; Sutures ; Time Factors</subject><ispartof>The American journal of surgery, 1969-02, Vol.117 (2), p.265-269</ispartof><rights>1969</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-789caedd4ba4e013c0a332df816769cc7129070497369141a9319ea4d56896363</citedby><cites>FETCH-LOGICAL-c357t-789caedd4ba4e013c0a332df816769cc7129070497369141a9319ea4d56896363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9610(69)90313-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/5773940$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rodkey, Grant V.</creatorcontrib><creatorcontrib>Welch, Claude E.</creatorcontrib><title>Surgical management of colonic diverticulitis with free perforation or abscess formation</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Both medical and economic considerations seem to point to the necessity of reappraisal of the traditional three stage method of treating diverticulitis with free perforation or gross abscess. 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Primary resection and anastomosis without a concomitant colostomy, although undoubtedly applicable in specific instances, cannot yet be recommended for general use in these complicated cases.</description><subject>Abscess - complications</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Colostomy</subject><subject>Diverticulitis, Colonic - surgery</subject><subject>Drainage</subject><subject>Female</subject><subject>Humans</subject><subject>Intestinal Diseases - complications</subject><subject>Intestinal Perforation - complications</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Surgical Wound Dehiscence</subject><subject>Sutures</subject><subject>Time Factors</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1969</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKAzEUhoMotV7eQCEr0cVo0qTJZCNI8QYFFyq4C2nmTI3MTGqSqfj2phe6dHU45__P7UPojJJrSqi4IYSMCiUouRTqShFGWcH30JCWUhW0LNk-Gu4sh-goxq-cUsrZAA3GUjLFyRB9vPZh7qxpcGs6M4cWuoR9ja1vfOcsrtwSQnK2b1xyEf-49InrAIAXEGofTHK-wz5gM4sWYsS51q6LJ-igNk2E0208Ru8P92-Tp2L68vg8uZsWlo1lKmSprIGq4jPDgVBmiWFsVNUlFVIoayUdKSIJV5IJRTk1ilEFhldjUSrBBDtGF5u5i-C_e4hJty6f0jSmA99HLUUGU3KWjXxjtMHHGKDWi-BaE341JXoFVK9o6RUtLZReA9U8t51v5_ezFqpd05Zg1m83OuQnlw6CjtZBZ6FyAWzSlXf_L_gDVZKEzg</recordid><startdate>196902</startdate><enddate>196902</enddate><creator>Rodkey, Grant V.</creator><creator>Welch, Claude E.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>196902</creationdate><title>Surgical management of colonic diverticulitis with free perforation or abscess formation</title><author>Rodkey, Grant V. ; Welch, Claude E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-789caedd4ba4e013c0a332df816769cc7129070497369141a9319ea4d56896363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1969</creationdate><topic>Abscess - complications</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Colostomy</topic><topic>Diverticulitis, Colonic - surgery</topic><topic>Drainage</topic><topic>Female</topic><topic>Humans</topic><topic>Intestinal Diseases - complications</topic><topic>Intestinal Perforation - complications</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>Surgical Wound Dehiscence</topic><topic>Sutures</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rodkey, Grant V.</creatorcontrib><creatorcontrib>Welch, Claude E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodkey, Grant V.</au><au>Welch, Claude E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical management of colonic diverticulitis with free perforation or abscess formation</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1969-02</date><risdate>1969</risdate><volume>117</volume><issue>2</issue><spage>265</spage><epage>269</epage><pages>265-269</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Both medical and economic considerations seem to point to the necessity of reappraisal of the traditional three stage method of treating diverticulitis with free perforation or gross abscess. 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| ispartof | The American journal of surgery, 1969-02, Vol.117 (2), p.265-269 |
| issn | 0002-9610 1879-1883 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Abscess - complications Adolescent Adult Aged Child Colostomy Diverticulitis, Colonic - surgery Drainage Female Humans Intestinal Diseases - complications Intestinal Perforation - complications Male Middle Aged Postoperative Complications Surgical Wound Dehiscence Sutures Time Factors |
| title | Surgical management of colonic diverticulitis with free perforation or abscess formation |
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