Surgical treatment to aid patients with colorectal perforation

Hideya Onishi, Kinjiro Sumiyoshi, Reiji Terasaka, Mitsuo Katano

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Abstract

Background: When a patient with colorectal perforation is treated, there is no adequate information about what the best procedure for emergent operation is. In the present study, we examined the clinical features in hemodialysis (HD) and non-HD patients with colorectal perforations. Patients and Methods: Forty-four patients (8 HD and 36 non- HD patients) who underwent surgery for colorectal perforation at the Fukuoka Red Cross Hospital were reviewed and analyzed. Results: Poor prognostic factors for patients with colorectal perforation were high age, HD, idiopathic perforation, postoperative complication and Hartmann's operation procedure. Good prognostic factors were diverticulum perforation and operation with anastomosis. In the analysis between HD and non-HD patients, clinical characteristics in HD patients with colorectal perforation were advanced age and rectal perforation. Conclusion: High mortality rate of HD patients with colorectal perforation may be due to high age and rectal perforation in which cases it is technically difficult to perform operation. In case of emergent operation of colorectal perforation, the Hartmann's procedure may not be recommended.

Original languageEnglish
Pages (from-to)997-1000
Number of pages4
JournalIn Vivo
Volume28
Issue number5
Publication statusPublished - Sep 1 2014

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All Science Journal Classification (ASJC) codes

  • Biochemistry, Genetics and Molecular Biology(all)
  • Pharmacology

Cite this

Onishi, H., Sumiyoshi, K., Terasaka, R., & Katano, M. (2014). Surgical treatment to aid patients with colorectal perforation. In Vivo, 28(5), 997-1000.