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Rectosigmoid stump washout as an alternative to permanent mucous fistula in patients undergoing subtotal colectomy for ulcerative colitis in emergency settings

Overview of attention for article published in BMC Surgery, November 2012
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Title
Rectosigmoid stump washout as an alternative to permanent mucous fistula in patients undergoing subtotal colectomy for ulcerative colitis in emergency settings
Published in
BMC Surgery, November 2012
DOI 10.1186/1471-2482-12-s1-s31
Pubmed ID
Authors

Gianluca Pellino, Guido Sciaudone, Giuseppe Candilio, Silvestro Canonico, Francesco Selvaggi

Abstract

Restorative proctocolectomy with ileopouch-anal anastomosis (IPAA) is the treatment of choice for intractable or complicated ulcerative colitis(UC). Elderly patients often present with acute colitis requiring emergent subtotal colectomy(SC). Frail patients are at risk of developing septic complications related to the closed rectosigmoidal stump, often requiring formation of a second stoma to be reversed at the time of completion proctectomy. This carries nuisance to such exhausted patients. We propose a simple and inexpensive trick to avoid the need for creating a mucous fistula.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 43 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 10 23%
Student > Master 8 19%
Student > Bachelor 4 9%
Student > Postgraduate 4 9%
Student > Doctoral Student 2 5%
Other 8 19%
Unknown 7 16%
Readers by discipline Count As %
Medicine and Dentistry 21 49%
Nursing and Health Professions 7 16%
Computer Science 2 5%
Psychology 2 5%
Agricultural and Biological Sciences 1 2%
Other 4 9%
Unknown 6 14%