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Related Experiment Videos

Emergency right colon resection.

F B Miller, N R Nikolov, R N Garrison

    Archives of Surgery (Chicago, Ill. : 1960)
    |March 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Emergency right colectomy has high mortality. Diversion with an ileostomy did not lower the death rate compared to primary anastomosis in this study of 70 patients.

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    Area of Science:

    • Colorectal Surgery
    • Surgical Outcomes
    • Emergency Medicine

    Background:

    • Management of stomas after emergency right colonic resection remains controversial.
    • High mortality rates are associated with emergency right colectomy.

    Purpose of the Study:

    • To define optimal stoma management following emergency right colectomy.
    • To compare outcomes of primary anastomosis versus diversion with ileostomy.

    Main Methods:

    • Retrospective study of 70 patients undergoing emergency right colectomy.
    • Comparison of primary anastomosis (36 patients) versus ileostomy diversion (34 patients).
    • Analysis of indications for resection, mortality, and morbidity.

    Main Results:

    Related Experiment Videos

    • Overall mortality was 21% in both the anastomosis and ileostomy groups.
    • Severe morbidity related to ileostomy occurred in 18% of patients.
    • Anastomotic leaks occurred in 8% of patients.

    Conclusions:

    • High mortality persists after emergency right colectomy, irrespective of the indication.
    • Diversion with ileostomy does not reduce the high death rate compared to primary anastomosis.