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[Generalised fecal peritonitis. Etiopathogenic and therapeutic considerations in 30 cases (author's transl)]
Abstract:
The authors analyse a series of 30 cases of generalised fecal peritonitis which represents a less frequent form of peritoneal infection. The etiology was mainly diverticular perforation (50 p. cent) or neoplasia (25 p. cent). The mortality was high (63 p. cent). It seems, in the light of the results, that the best treatment consists of operating in two stages, the first being the eradication of the colonic lesion which should be carried out as a routine without attempting immediate anastomosis. Wide drainage with peritoneal lavage and the use of "noxythioline" may improve the results of a disease which always remains very severe.
Insights
This study on generalized fecal peritonitis found high mortality rates, primarily from diverticular perforation or neoplasia. A two-stage surgical approach, focusing on lesion eradication first, may improve outcomes for this severe condition.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Infectious Diseases
Context:
- Generalized fecal peritonitis is a rare but severe peritoneal infection.
- Etiologies include diverticular perforation (50%) and neoplasia (25%).
- High mortality rates (63%) are associated with this condition.
Purpose:
- To analyze outcomes of generalized fecal peritonitis.
- To evaluate treatment strategies for severe peritoneal infections.
- To identify factors influencing mortality and treatment efficacy.
Summary:
- Analysis of 30 cases of generalized fecal peritonitis.
- Diverticular perforation and neoplasia are primary causes.
- A two-stage surgical treatment, prioritizing colonic lesion eradication without immediate anastomosis, is proposed.
- Adjunctive measures like wide drainage, peritoneal lavage, and noxythioline may enhance results.
Impact:
- Highlights the severity and high mortality of generalized fecal peritonitis.
- Suggests an optimized two-stage surgical approach for improved patient outcomes.
- Emphasizes the importance of addressing the colonic source before anastomosis.
- Recommends supportive measures to potentially reduce mortality in severe cases.