ID 97856
Title Transcription
トウカ ニオケル ダイチョウ センコウ 83レイ ノ リンショウテキ ケントウ
Title Alternative
A clinical study on 83 perforated cases of the colon
Author
Inoue, Seiya Department of Surgery, Tokushima Prefectural Central Hospital Tokushima University Educator and Researcher Directory
Kuratate, Shinji Department of Surgery, Tokushima Prefectural Central Hospital
Chikakiyo, Motoya Department of Surgery, Tokushima Prefectural Central Hospital
Yagi, Toshiyuki Department of Surgery, Tokushima Prefectural Central Hospital
Hirose, Toshiyuki Department of Surgery, Tokushima Prefectural Central Hospital
Saitou, Seiya Department of Surgery, Tokushima Prefectural Central Hospital
Sumitomo, Masayuki Department of Surgery, Tokushima Prefectural Central Hospital
Fuzino, Ryouzou Department of Surgery, Tokushima Prefectural Central Hospital
Keywords
colon perforation
diffuse peritonitis
SOFA score
severity rating
endotoxin adsorption therapy(PMX-DHP)
Content Type
Journal Article
Description
Introduction : Colon perforation easily causes septic shock and multiple organ failure, mortality rate is high. We studied prognostic factors with colon perforation. From January1999to December 2008, 83 patients with colon perforation underwent emergency surgery in this department.
Methods : Subjects were retrospectively divided into survivors(n=67)and nonsurvivors(n=16). We studied their clinical factors and compared mortality for each factors. Results : Overall mortality was19% 16/83). The mean age was74years, and significantly higher mortality over 80years. The cause perforation was idiopathic in25cases, cancer in21cases, diverticulitis in19 cases, iatrogenic in8cases, trauma in2cases, others in8cases. The perforation site was the most sigmoid colon. Patients with SOFA score at least five points before surgery and preoperative shock and leucopenia and older than24hours before surgery was significantly higher mortality. Each was no difference in complications before surgery. PMX-DHP was performed in 39 cases 13% mortality. Discussion : In patients with colon perforation, preoperative assessment SOFA score was trusted to reflect the outcome.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
67
Issue
5-6
Start Page
241
End Page
246
Sort Key
241
Published Date
2011-12-25
Remark
FullText File
language
jpn
departments
Medical Sciences