Boutelier P, Cour J C, Edelmann G
Sem Hop. 1982 Apr 15;58(15):903-7.
Experience with 28 patients with acute diffuse complicated colitis operated on in emergency or semi emergency by the same surgical team is reviewed. The forms with colonic dilatation are the most numerous but do not resume the serious complications which may occur in the course of non specific inflammatory diseases of the colon. The operative mortality in this series was 10,7% (3/28). Peritoneal sepsis was the most significant factor contributing to mortality. It appears that the keystone to successful management is to prevent colonic perforation. Protracted medical management may be at last partly responsible for this complication. Failure of intensive medical therapy to induce rapid improvement constitutes an indication for definitive surgical treatment.
回顾了由同一手术团队进行急诊或半急诊手术的28例急性弥漫性复杂性结肠炎患者的经验。结肠扩张形式最为常见，但并未涵盖结肠非特异性炎症疾病过程中可能出现的严重并发症。该系列手术的死亡率为10.7%（3/28）。腹膜脓毒症是导致死亡的最重要因素。成功治疗的关键似乎是预防结肠穿孔。长期的药物治疗可能最终部分导致了这一并发症。强化药物治疗未能迅速改善病情是进行确定性手术治疗的指征。
