Open AccessManagement of left‐sided colonic obstruction by subtotal colectomy and ileocolic anastomosis
Author(s) -
Reemst Peter H. M.,
Kuijpers Han C.,
Wobbes Theo
Publication year - 1998
Publication title -
european journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 1741-9271
pISSN - 1102-4151
DOI - 10.1080/110241598750005912
Subject(s) - medicine , surgery , anastomosis , colectomy , surgical anastomosis , colonic disease , ulcerative colitis , colorectal cancer , disease , cancer
Objective: To assess complications and functional results of emergency subtotal colectomy with ileocolic anastomosis for acute left‐sided colonic obstruction. Design: Retrospective study. Setting: University hospital, Netherlands. Subjects: 37 patients with acute left‐sided colonic obstruction. Interventions: Emergency subtotal colectomy with immediate anastomosis ( n = 20), Hartmann's procedure ( n = 13) or double‐loop transverse colostomy ( n = 4). Main outcome measures: Mortality, morbidity, duration of hospital stay, frequency of defecation, and continence. Results: Morbidity after subtotal colectomy was 10% ( n = 2) and mortality 0. There was one anastomotic dehiscence that required a temporary ileostomy. Mean hospital stay was 15 days (range 10–31). All had adequate continence. After 6 weeks mean frequency of defecation was 3/24 hrs (range 2–6). 9 patients died within 2 years of metastatic disease. Conclusions: Subtotal colectomy with ileocolic anastomosis is a suitable procedure for treating left‐sided colonic obstruction provided that pelvic floor function is adequate and a skilled surgeon is available. Copyright © 1998 Taylor and Francis Ltd.