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Subtotal colectomy for refractory pseudomembranous enterocolitis

W C Boyd, L DenBesten

    JAMA
    |January 12, 1976
    PubMed
    Summary
    This summary is machine-generated.

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    Pseudomembranous enterocolitis, often caused by antibiotics like clindamycin, may not improve with medication. Surgical intervention, specifically subtotal colectomy with ileostomy, can lead to recovery in severe cases.

    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology
    • Infectious Diseases

    Background:

    • Antibiotic-associated pseudomembranous enterocolitis (A-APEC) is a serious gastrointestinal condition.
    • Severe A-APEC can be refractory to medical management, including antibiotics and supportive care.
    • Clindamycin and lincomycin hydrochloride monohydrate are known causative agents.

    Observation:

    • Two critically ill patients with A-APEC were described.
    • These patients did not respond to conventional medical and drug therapies.
    • Their condition was life-threatening, necessitating alternative treatment strategies.

    Findings:

    • Both patients underwent subtotal colectomy with ileostomy.
    • Following the surgical intervention, both patients demonstrated complete recovery.

    Related Experiment Videos

  • This suggests surgical management as a viable option for refractory A-APEC.
  • Implications:

    • Subtotal colectomy with ileostomy may be a life-saving option for patients with severe, medically refractory pseudomembranous enterocolitis.
    • This surgical approach offers an alternative when antibiotic therapy and intensive medical support fail.
    • Further research into surgical indications and outcomes for A-APEC is warranted.