Severe Colonic Complications requiring Sub-Total Colectomy i
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Abstract
Colonic involvement in acute pancreatitis is associated with high mortality. Diagnosis of colonic pathology complicating acute pancreatitis is difficult. The treatment of choice is resection of the affected segment. The aim of this study is to evaluate the feasibility of aggressive surgical approach when colonic complication is suspected. Retrospectively, 8 patients with acute necrotizing pancreatitis and colonic complications (2006–2010) were reviewed. Eight patients with acute necrotizing pancreatitis requiring colonic resection were evaluated. Presentation was varied, including rectal bleeding (2), clinical deterioration during severe pancreatitis (4), colonic contrast leak on CT scan (1) and large bowel obstruction (1). Typically, patients with severe acute pancreatitis had colonic pathology obscured and unrecognized initially because of the ongoing, fulminant inflammatory process. All eight patients underwent Sub-total colectomy & ileostomy for suspected imminent or overt ischemia/perforation, based on the outer aspect of the colon. There was one mortality due to severe sepsis and multiorgan dysfunction syndrome.......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376830/
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Dr. P●●●●●●●●i S●●●●●●●●●●n
Dr. P●●●●●●●●i S●●●●●●●●●●n General Surgery
All pancreatitis with "colon cut-off" sign should be aggressively operated upon & negative results should also be accepted
Apr 7, 2017Like