Clinical Study of Patients with Colorectal Perforation
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- Murakami Yoshihiro
- Department of Surgery, Kitami Redcross Hospital
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- Yamamoto Kazuyuki
- Department of Surgery, Kitami Redcross Hospital
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- Koide Toru
- Department of Surgery, Kitami Redcross Hospital
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- Murakawa Katsuhiko
- Department of Surgery, Kitami Redcross Hospital
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- Kitagami Hidehiko
- Department of Surgery, Kitami Redcross Hospital
Bibliographic Information
- Other Title
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- 当科における下部消化管穿孔例の検討
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Abstract
The purpose of this study was to evaluate the factors which affected the postoperative mortality and the length of hospital stay for patients after a colorectal perforation. There were 34 cases of colorectal perforations in our hospital in the past five years, and these cases were studied retrospectively. The white blood cell count of the patients who died during hospitalization after the surgery was lower than that of the patients who were able to leave the hospital after the surgery. The factors that prolonged the postoperative stay were : presence of preoperative and postoperative complications, preoperative septic shock, postoperative disseminated intravascular coagulation (DIC), over 70 years of age, and whether they had undergone a colostomy or ileostomy. Also, the incidence of postoperative complications was significantly higher in patients over 70 years old. There were no significant correlations between surgical procedure and preoperative mortality or any other factors. Saving the patient's life should be the first consideration in colorectal perforation, but considering the lowering of activities of daily life (ADL) and quality of life (QOL) caused by a long postoperative hospital stay, shortening the length of the postoperative hospital stay must be considered at the same time.
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 28 (4), 531-539, 2008
Japanese Society for Abdominal Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390282679712631296
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- NII Article ID
- 10021302273
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- NII Book ID
- AN10426469
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed