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Management of the obstructed left colon by the one-stage intracolonic bypass procedure

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Diseases of the Colon & Rectum

Abstract

Six patients with left-sided colonic obstruction were treated by immediate resection and anastomosis using the intraluminal bypass procedure. There was no mortality or clinical anastomotic leakage. The technique provides an alternative to staged, management of left-sided colonic obstruction.

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References

  1. Wara P, Sørensen K, Berg V. Proximal fecal diversion: review of ten years experience. Dis Colon Rectum 1981;24:114–9.

    PubMed  CAS  Google Scholar 

  2. Hines JR, Harris GD. Colostomy and colostomy closure. Surg Clin North Am. 1977;57:1370–92.

    Google Scholar 

  3. Krukowski ZH, Matheson NA. Mortality in patients with generalised feacal peritonitis secondary to diverticular disease—a review. Br J Surg 1984;71:921–7.

    PubMed  CAS  Google Scholar 

  4. Knight CD, Griffin FD. Techniques of low rectal reconstruction. Curr Probl Surg 1983;20:391–456.

    Article  Google Scholar 

  5. Koruth NM, Hunter DC, Krukowski ZH, Matheson NA. Immediate resection in emergency bowel surgery: a 7 year audit. Br J Surg 1985;72:703–7.

    PubMed  CAS  Google Scholar 

  6. Thomson WH, Carter S St. C. On table lavage to achieve safe restorative rectal and emergency colonic resection without covering colostomy. Br J Surg 1986;73:61–3.

    PubMed  CAS  Google Scholar 

  7. Phillips RKS, Hittinger R, Fry JS, Fielding LP. Malignant large bowel obstruction. Br J Surg 1985;72:296–302.

    PubMed  CAS  Google Scholar 

  8. Ger R, Ravo B. Prevention and treatment of intestinal dehiscence by an intraluminal bypass graft. Br J Surg 1984;71:726–9.

    PubMed  CAS  Google Scholar 

  9. Ravo B, Ger R. Intracolonic, bypass by an intraluminal tube: an experimental study. Dis Colon Rectum 1984;27:360–5.

    Article  PubMed  CAS  Google Scholar 

  10. Ravo B, Mishrick A, Addei K, et al. The treatment of perforated diverticulitis by one stage intracolonic bypass procedure. Surgery 1987;102:771–6.

    PubMed  CAS  Google Scholar 

  11. Ravo B. The intracolonic bypass procedure. Int J Colorectal Dis 1987;2:38–42.

    Article  PubMed  CAS  Google Scholar 

  12. Fielding LP. Large bowel obstruction. In: Dudley HA, ed. Hamilton Bailey's emergency surgery. 11th ed. Bristol: Wright 1986; 367–74.

    Google Scholar 

  13. Irvin TT, Goligher JC. Aetiology of disruption of intestinal anastomosis. Br J Surg 1973;60:461–4.

    PubMed  CAS  Google Scholar 

  14. Goligher JC, Graham NG, DeDombal FT. Anastomotic dehiscence after anterior resection of rectum and sigmoid. Br J Surg 1970;57:109–18.

    PubMed  CAS  Google Scholar 

  15. Winkler MJ, Volpe PA. Loop transverse colostomy: the case against. Dis Colon Rectum 1982;25:321–6.

    Article  PubMed  CAS  Google Scholar 

  16. Dudley HAF, Radcliffe AG, McGeehan D. Intraoperative irrigation of the colon to permit primary anastomosis. Br J Surg 1980;67:80–1.

    PubMed  CAS  Google Scholar 

  17. Koruth NM, Krukowski ZH, Youngson GG, et al. Intraoperative colonic irrigation in the management of left sided large bowel emergencies. Br J Surg 1985;72:708–11.

    PubMed  CAS  Google Scholar 

  18. Irving AD, Scrimgeour D. Mechanical bowel preparation for colonic resection and anastomosis. Br J Surg 1987;74:580–1

    PubMed  CAS  Google Scholar 

  19. Johnston D. Bowel preparation for colorectal surgery. Br J Surg 1987;74:553–4.

    PubMed  CAS  Google Scholar 

  20. Fielding LP, Stewart-Brown S, Blesovsky L, Kearney G. Anastomotic integrity after operation for large bowel cancer. Br Med J 1980;2:411–4.

    Article  Google Scholar 

  21. Ravo B, Ger R. Temporary colostomy—an outmoded procedure? A report on the intracolonic bypass. Dis Colon Rectum 1985;28: 904–7.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Royal Postgraduate Medical School, London, UK

    P. F. Keane M.Ch., F.R.C.S. (Irel.), S. K. Ohri M.B., B.S., C. B. Wood M.D., F.R.C.S. & J. M. Sackier F.R.C.S.

Authors
  1. P. F. Keane M.Ch., F.R.C.S. (Irel.)
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  2. S. K. Ohri M.B., B.S.
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  3. C. B. Wood M.D., F.R.C.S.
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  4. J. M. Sackier F.R.C.S.
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Keane, P.F., Ohri, S.K., Wood, C.B. et al. Management of the obstructed left colon by the one-stage intracolonic bypass procedure. Dis Colon Rectum 31, 948–951 (1988). https://doi.org/10.1007/BF02554892

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  • DOI: https://doi.org/10.1007/BF02554892

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