https://scholars.lib.ntu.edu.tw/handle/123456789/521636
標題: | Fulminant amebiasis: A clinical evaluation | 作者: | Hsu Y.B. Chen F.M. PO-HUANG LEE Yu S.C. Chen K.M. Yoo Y.T. Hsu H.C. |
關鍵字: | Colon perforation; Fulminant amebiasis | 公開日期: | 1995 | 卷: | 42 | 期: | 2 | 起(迄)頁: | 109-112 | 來源出版物: | Hepato-Gastroenterology | 摘要: | Two patients with fulminant amebic colitis with colon perforation and concomitant liver abscess were collected over the last 5 years. One patient underwent emergency laparotomy to treat amebic cecal perforation. Diverted ileostomy saved his life. The ileostomy was successfully reversed 6 months later. The other patient underwent 4 laparotomies with more invasive procedures in less than 1 month due to sequential complications of amebiasis. Colon resection with enterostomy miraculously allowed him to survive. In comparison with the latter, who underwent more aggressive surgery and experienced more catastrophic complications, the former with conservative surgery had a smoother clinical result. Thus, conservative operation for colon perforation due to amebiasis is recommended. Besides, thanks to the alertness of doctors, the favorable age of the patients, the advent of new antiamebic and antimicrobial agents, excellent hyperalimentation, the great improvement in medical facilities and postoperative care, the two critical patients eventually survived after several operations, and had a better outcome as compared with the high mortality rate of 87.5% in our hospital 2 decades earlier. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029042386&partnerID=40&md5=d654778c350a9dc2c193afd8d9668ade https://scholars.lib.ntu.edu.tw/handle/123456789/521636 |
ISSN: | 0172-6390 | SDG/關鍵字: | antiamebic agent; antiinfective agent; adult; amebiasis; article; case report; colon perforation; colon resection; emergency surgery; enterostomy; human; hyperalimentation; ileostomy; laparotomy; liver abscess; male; priority journal; surgical technique; Adult; Animal; Antibiotics; Antiprotozoal Agents; Case Report; Colonic Diseases; Combined Modality Therapy; Dysentery, Amebic; Human; Intestinal Perforation; Liver Abscess, Amebic; Male; Middle Age; Retrospective Studies |
顯示於: | 醫學系 |
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