Gianfrancisco J A, Abcarian H
Dis Colon Rectum. 1982 Jul-Aug;25(5):441-5. doi: 10.1007/BF02553650.
In 1969, the concept of "blind" subtotal colectomy was introduced for the treatment of patients with colonic diverticulosis and massive lower gastrointestinal (LGI) bleeding. This "policy" was soon extended to include all patients with LGI bleeding from obscure bleeding sources. In a nine-year period, ten patients presented with massive LGI bleeding, had evidence of colonic diverticula on barium-enema examination, and were explored for unrelenting bleeding. In four patients, careful exploration revealed another source for bleeding and three did well after appropriate surgery. One patient died during surgery. Six patients had blind subtotal colectomy, continued to bleed postoperatively, and three of these patients died. With the advent of selective mesenteric angiography and other preoperative diagnostic techniques, all efforts should be made to identify the exact source of bleeding and proceed with the appropriate surgery rather than subject the patient to blind subtotal colectomy.
1969年，“盲目”次全结肠切除术的概念被引入用于治疗结肠憩室病和大量下消化道（LGI）出血的患者。这一“策略”很快扩展到包括所有来自不明出血源的LGI出血患者。在九年的时间里，有十名患者出现大量LGI出血，钡剂灌肠检查显示有结肠憩室的迹象，并因持续出血而接受探查。在四名患者中，仔细探查发现了另一个出血源，其中三名患者在接受适当手术后情况良好。一名患者在手术中死亡。六名患者接受了盲目次全结肠切除术，术后继续出血，其中三名患者死亡。随着选择性肠系膜血管造影和其他术前诊断技术的出现，应尽一切努力确定出血的确切来源，并进行适当的手术，而不是让患者接受盲目次全结肠切除术。
