https://scholars.lib.ntu.edu.tw/handle/123456789/477497
標題: | Optimal interval from decompression to semi-elective operation in sigmoid volvulus | 作者: | Tsai M.-S. MING-TSAN LIN KING-JEN CHANG Wang S.-M. PO-HUANG LEE |
公開日期: | 2006 | 卷: | 53 | 期: | 69 | 起(迄)頁: | 354-356 | 來源出版物: | Hepato-Gastroenterology | 摘要: | Background/Aims: The initial non-operative decompression and subsequent semi-elective operation is a common strategy in managing sigmoid volvulus. However, the optimal interval between decompression and operation is still unclear. Methodology: From 1994 to 2004,25 patients operated on for sigmoid volvulus at the National Taiwan University Hospital were enrolled. The treatment strategy and clinical outcome in these patients were retrospectively reviewed and analyzed. Results: Twenty-one patients underwent successful non-operative decompression initially, and the remaining 4 patients underwent emergent operation. Gangrene of the colon was found in 3 patients, and all of them eventually died of medical complications, i.e. multiple organ failure, pneumonia and myocardial infarction. One leakage but no mortality occurred in the patients undergoing semi-elective operation. The rate of postoperative complication was not significantly different between the patients operated on 2 days and more than 2 days after the decompression. Conclusions: The initial non-operative decompression and subsequent semi-elective operation results in a satisfactory outcome in managing sigmoid volvulus. In the view of surgical result, a two-day interval seems adequate for bowel preparation and optimization of the patient's condition. ? H.G.E. Update Medical Publishing S.A. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-33745440512&partnerID=40&md5=87aa1bf779c469ea145209c1aa1f4843 https://scholars.lib.ntu.edu.tw/handle/123456789/477497 |
ISSN: | 0172-6390 | SDG/關鍵字: | adult; aged; article; clinical article; controlled study; decompression surgery; elective surgery; female; heart infarction; human; male; mortality; multiple organ failure; pneumonia; postoperative complication; priority journal; sigmoid volvulus; Taiwan; treatment outcome; university hospital; Adult; Aged; Aged, 80 and over; Colonoscopy; Decompression, Surgical; Female; Humans; Intestinal Volvulus; Male; Middle Aged; Retrospective Studies; Sigmoid Diseases; Surgical Procedures, Elective; Time Factors; Treatment Outcome |
顯示於: | 醫學系 |
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