Emergency left colon resection with primary anastomosis

1980 ◽  
Vol 23 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Bruce G. Thow
Keyword(s):  
Primary Anastomosis ◽  
Colon Resection ◽  
Left Colon

scholarly journals Emergency Left Colon Resection for Acute Perforation. Primary Anastomosis or Hartmann’s Procedure? A Case-matched Control Study

2007 ◽  
Vol 31 (11) ◽  
pp. 2117-2124 ◽  
Author(s):  
Stefan Breitenstein ◽  
Armin Kraus ◽  
Dieter Hahnloser ◽  
Marco Decurtins ◽  
Pierre-Alain Clavien ◽  
...  
Keyword(s):  
Matched Control ◽  
Primary Anastomosis ◽  
Colon Resection ◽  
Left Colon ◽  
Hartmann’S Procedure ◽  
Hartmann's Procedure ◽  
Acute Perforation ◽  
Control Study

scholarly journals Colon Resection With Primary Anastomosis Performed As An Emergency And As A Non-Planned Operation

1967 ◽  
Vol 165 (5) ◽  
pp. 709-720 ◽  
Author(s):  
J. LYNWOOD HERRINTON ◽  
MARION LAWLER ◽  
THOMAS V. THOMAS ◽  
HERSCHL A. GRAVES
Keyword(s):  
Primary Anastomosis ◽  
Colon Resection

Left colon resection with transrectal specimen extraction: current status

2018 ◽  
Vol 22 (6) ◽  
pp. 411-423 ◽  
Author(s):  
D. Zattoni ◽  
G. S. Popeskou ◽  
D. Christoforidis
Keyword(s):  
Colon Resection ◽  
Left Colon ◽  
Current Status ◽  
Specimen Extraction

Defining Outcomes after Colon Resection in Blunt Trauma: Is Diversion or Primary Anastomosis More Favorable?

2018 ◽  
Vol 84 (8) ◽  
pp. 1288-1293 ◽  
Author(s):  
Alaina M. Lasinski ◽  
Lindsay Gil ◽  
Anai N. Kothari ◽  
Michael J. Anstadt ◽  
Richard P. Gonzalez
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Blunt Trauma ◽  
Primary Repair ◽  
Perioperative Complications ◽  
Primary Anastomosis ◽  
Data Bank ◽  
Colon Resection ◽  
Colon Injury

Previous literature demonstrates the safety of primary repair in penetrating colon injury requiring resection, without the creation of a diverting ostomy. It is unknown whether a similar approach can be applied to patients with blunt colon injury. The aim of this study was to measure outcomes in patients who underwent colon resection with and without ostomy creation after blunt trauma injury to help direct future management. Using the National Trauma Data Bank for years 2008 to 2012, we identified patients with blunt trauma mechanisms who underwent colectomy. Patients were stratified into two groups: primary anastomosis and diversion with ostomy. Primary outcome was inpatient mortality. Secondary outcomes included length of stay and perioperative complications. All risk-adjusted analyses were performed using logistic regression with consideration of interactions. Five hundred eighty-one observations met our inclusion criteria. Baseline characteristics between the two groups were similar with the exception of age (37.3 vs 42.2 years, P < 0.001) and admission Glasgow coma score (13.2 vs 12.1, P = 0.002). Risk-adjusted mortality for the two groups was not statistically significant (2.3% vs 3.0%, P = 0.63); however, patients with primary anastomosis had a shorter length of stay (18.2 vs 28.1, P < 0.001), fewer days in the intensive care unit (10.9 vs 16.2, P < 0.001), and fewer ventilator days (10.5 vs 14.6, P = 0.01). In patients requiring colon resection after blunt trauma, mortality is not different for those who receive a primary anastomosis versus ostomy. Patients without diversion had shorter hospital stays, intensive care unit days, and ventilator days. These data support that primary anastomosis is safe in this patient population.

scholarly journals Inverted Lymphoglandular Polyp in Descending Colon

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Shengmei Zhou ◽  
Yanling Ma ◽  
Parakrama Chandrasoma
Keyword(s):  
Colon Resection ◽  
Left Colon ◽  
Normal Colonic Mucosa ◽  
Surface Erosion ◽  
Sessile Polyp ◽  
Colonoscopic Examination ◽  
Focal Surface ◽  
Descending Colon ◽  
One Year ◽  
Left Colon Cancer

A 47-year-old male with a history of left colon cancer, status post left colon resection for 12 years, presented with rectal bleeding. Colonoscopic examination revealed an 8 mm sessile polyp in the proximal descending colon. Microscopic examination showed that the surface of this polyp was covered with a layer of normal colonic mucosa with focal surface erosion. In the submucosal layer, an intimate admixture of multiple cystically dilated glands and prominent lymphoid aggregates with germinal centers was seen. The glands were lined by columnar epithelium. Immunohistochemical staining showed the glands were positive for CK20 and CDX2 and negative for CK7, with a low proliferative index, mostly consistent with reactive colonic glands. The patient remained asymptomatic after one-year follow-up. A review of the literature shows very rare descriptions of similar lesions, but none fits exactly this pattern. We would designate this inverted lymphoglandular polyp and present this case to raise the awareness of recognizing this unusual histological entity.

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