Durrans, D., Redmond, E.J., and Marshman, L. (1991) Stercoral perforation of the colon. British Journal of Surgery, 78 (9). p. 1148.

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Abstract

[Extract] We read with interest the review by Messrs Serpell and Nicholls on stercoral perforation of the colon (Br J Surg 1990; 77:1325-9) having recently managed two such cases, both of whom reperforated after limited colonic resection with exteriorization. he paramount impression we have gained from these cases is that, while the initial operation coped with the perforation, it failed singularly to address the aetiology of that perforation, and we question whether these patients may have been better served by undertaking total colectomy and ilcostomy, preserving the rectal stump for later ileorectal anastomosis. Such a strategy would negate the risk of further early stercoral perforation, as experienced both by ourselves and the authors, and also address the problem of chronic constipation that has already resulted in a life-threatening complication.

Item ID:	39077
Item Type:	Article (Commentary)
ISSN:	1365-2168
Date Deposited:	20 Oct 2015 03:42
FoR Codes:	11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110323 Surgery @ 70% 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110399 Clinical Sciences not elsewhere classified @ 30%
SEO Codes:	92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920118 Surgical Methods and Procedures @ 70% 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920199 Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified @ 30%
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