Abstract
Upper gastrointestinal manifestations of collagen vascular diseases have been well described. Recently our attention has been focused on the colonic complications: fibrosis and stricture resulting in obstruction, severe obstipation and recurrent fecal impactions secondary to pseudo-obstruction, progressive colonic dilatation resulting in gangrene of the colon, and sigmoid volvulus and diverticulitis in the presence of both wide- and narrow-mouth pseudodiverticula. Patients with these colonic manifestations of collagen vascular disease are disabled, if not severely ill. Recognition of the problem enables the surgeon to plan definitive surgical intervention ranging from segmental resection to total colectomy and ileoproctostomy to restore satisfactory large bowel function.
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Read at the meeting of the American Society of Colon and Rectal Surgeons, Hollywood. Florida, May 11 to 16, 1980. This paper received the Rowell Laboratories Education Committee Award.
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Ferrari, B.T., Ray, J.E., Robertson, H.D. et al. Colonic manifestations of collagen vascular diseases. Dis Colon Rectum 23, 473–477 (1980). https://doi.org/10.1007/BF02987080
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DOI: https://doi.org/10.1007/BF02987080