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Page 1 de 21 résultats
Toxic megacolon complicating pseudomembranous enterocolitis.
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OBJECTIVE
Toxic megacolon is a rare complication of pseudomembranous enterocolitis. We reviewed our recent experience with this complication.
METHODS
The first five patients of the series were studied retrospectively, and six others were followed prospectively.
RESULTS
Between June 1992 and May
Toxic megacolon in ulcerative colitis: a continuing challenge.
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The incidence, predisposing factors, management and outcome of toxic megacolon (TM) has been reviewed in 65 cases of severe ulcerative colitis (UC) and compared in 2 successive 6-year periods before and after January, 1973. Nineteen episodes of TM occurred in 18 patients. Despite a conscious aim
Toxic dilatation of colon in Crohn's disease.
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12 cases of toxic dilatation of the colon in Crohn's disease were reviewed. In 11 this complication seemed to be the first manifestation of the disease and a considerable diagnostic delay may partly account for the strikingly high mortality (50%). On admission 83% had clinical features suggestive of
Surgery for ulcerative colitis in elderly persons: changes in indications for surgery and outcome over time.
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OBJECTIVE
Medical therapy has changed the indications for surgery over the last 4 decades. Advances in perioperative care have significantly improved the outcome.
METHODS
The medical records of all patients 65 years and older who underwent surgery for ulcerative colitis during a 40-year period were
Preoperative infliximab treatment in patients with ulcerative and indeterminate colitis does not increase rate of conversion to emergent and multistep abdominal surgery.
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BACKGROUND
A recent study has raised concerns that infliximab treatment, by postpoing surgery for ulcerative and indeterminate colitis patients, may result in a greater need for high-risk emergent or multistep surgical procedures (subtotal colectomies). Our aim was to assess whether infliximab
Abdominal X-ray in Pediatric Acute Severe Colitis and Radiographic Predictors of Response to Intravenous Steroids.
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BACKGROUND
Abdominal x-ray (AXR) can identify complications in acute severe colitis (ASC) and may assist in selecting high-risk children for early aggressive treatment. We aimed to describe AXR findings in pediatric ASC and to explore radiological predictors of response to intravenous corticosteroid
Mapping of panda plumage color locus on the microsatellite linkage map of the Japanese quail.
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BACKGROUND
Panda (s) is an autosomal recessive mutation, which displays overall white plumage color with spots of wild-type plumage in the Japanese quail (Coturnix japonica). In a previous study, the s locus was included in the same linkage group as serum albumin (Alb) and vitamin-D binding protein
C. difficile colitis--predictors of fatal outcome.
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OBJECTIVE
Clostridium difficile colitis (CDC) has a clinical spectrum ranging from mild diarrhea to fulminant, potentially fatal colitis. The pathophysiology for this variation remains poorly understood. A total abdominal colectomy may be lifesaving if performed before the point of no return.
Clinical features of ulcerative colitis in Korea.
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OBJECTIVE
This study was conducted to investigate the clinical features of ulcerative colitis in Korea and to evaluate the clinical course after medical therapy.
METHODS
Symptoms, signs and results of the treatment were retrospectively analyzed in 66 patients (male 32, female 34) diagnosed to have
Clinical effects of ascending colon patching ileorectal heart-shaped anastomosis on total colonic aganglionosis.
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OBJECTIVE
We studied the clinical effects of ascending colon patching ileorectal heart-shaped anastomosis in treating total colonic aganglionosis.
METHODS
From June 2006 to June 2013, 15 children with severe abdominal distension, low small intestine obstruction and intestinal perforation in the
Timing and indications for colectomy in chronic ulcerative colitis: Surgical consideration.
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Total proctocolectomy (TPC) cures a patient of the intestinal manifestation of chronic ulcerative colitis. The timing of surgery during the illness will influence the choice of operation, the frequency of post-operative complications, and the long-term functional outcomes. Surgery is divided into
Safety of urgent restorative proctocolectomy with ileal pouch-anal anastomosis for fulminant colitis.
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OBJECTIVE
Subtotal colectomy with ileostomy is the operation of choice for patients with fulminant colitis. Restorative proctocolectomy (RPC) with ileal pouch-anal anastomosis (IPAA) is preferred for patients who undergo elective surgery for ulcerative colitis. We retrospectively evaluated the
Pseudomembranous colitis associated with antibiotic therapy in a child: report of a case and review of the literature.
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A case of pseudomembranous colitis is presented in a child with multiple medical problems who received intraoperative antibiotics. Despite aggressive medical management and operative intervention, the patient died. All patients who develop diarrhea after receiving antibiotics should be suspected of
Blood pH: a test for assessment of severity in proctocolitis.
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Acid base balance was studied in 58 patients with active idiopathic proctocolitis; the condition of 10 of them was complicated by toxic megacolon. Arterial blood pH increased progressively with increased severity of the colitis and as the lesions became more widespread. Statistically significant
Colectomy for fulminant Clostridium difficile colitis: predictors of mortality.
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The purpose of this study was to define clinical and radiographic variables associated with postoperative mortality after urgent colectomy for fulminant Clostridium difficile colitis. Data were obtained regarding patients undergoing colectomy for fulminant C. difficile colitis at two institutions
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