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Paper Information

Journal:   THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES   Spring 2003 , Volume 14 , Number 1; Page(s) 46 To 51.
 
Paper: 

RESULTS OF LEFT COLON PRIMARY ANASTOMOSIS IN OBSTRUCTIVE COLON DISEASE FROM 1997 TO 2002 AT URMIA EMAMHOSPITAL

 
 
Author(s):  ENSHAIE A.*
 
* Urmia University of Medical Sciences, urmia, Iran
 
Abstract: 

Background & Aim: Traditionally, left sided colon obstruction is managed by a multistaged defunctioning colostomy and resection. This paper presents a series of patients managed by primary anastomosis and complications of single stage operation evaluated.
Materials and Methods: 35patient with left colon obstructive disease were selected and one stage primary left colon anastomosis done and complications evaluated. All of them were 40 years old and more.
Results: There was 20% wound infection, 17.1% renal failure 5.7% post operative death, 5.7% anastomtic leakage, 2.8% GI fistula, 2.8% Abdominal abscess, post operative ileus (14.3%) generalized peritonitis (2.8%).
Mean age of patients was 64 and mean hospital stay was 9 days. Obstruction of left colon was due to cancer, sigmoid volvulus, fecal impaction and inflammatory disease.
Discussion: Regarding to results of this study, left colon primary anastomosis can performed safely in selected patients with acute obstruction of left colon.

 
Keyword(s): OBSTRUCTION, PRIMARY ANASTOMOSIS, LEFT COLON
 
References: 
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