Loop ileostomy versus total colectomy as surgical treatment for Clostridium difficile–associated disease

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PAPERS OF THE 131ST ASA ANNUAL MEETING Diverting Loop Ileostomy and Colonic Lavage An Alternative to Total Abdominal Colectomy for the Treatment of Severe, Complicated Clostridium difficile Associated Disease

Objective: To determine whether a minimally invasive, colon-preserving approach could serve as an alternative to total colectomy in the treatment of severe, complicated Clostridium difficile–associated disease (CDAD). Background: C. difficile is a significant cause of morbidity and mortality worldwide. Most cases will respond to antibiotic therapy, but 3% to 10% of patients progress to a severe...

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Clostridium difficile small bowel enteritis occurring after total colectomy.

Clostridium difficile infection is usually associated with antibiotic therapy and is almost always limited to the colonic mucosa. Small bowel enteritis is rare: only 9 cases have been previously cited in the literature. This report describes a case of C. difficile small bowel enteritis that occurred in a patient after total colectomy and reviews the 9 previously reported cases of C. difficile e...

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Single-port laparoscopic colectomy versus conventional laparoscopic colectomy for colon cancer: a comparison of surgical results

BACKGROUND Single-port laparoscopic surgery is a new technique that leaves no visible scar. This new technique has generated strong interest among surgeons worldwide. However, single-port laparoscopic colon surgery has not yet been standardized. Our aim in this study was to evaluate the feasibility of single-port laparoscopic colectomy compared with conventional laparoscopic colectomy for colon...

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Meta-analysis of handsewn versus stapled reversal of loop ileostomy.

BACKGROUND The morbidity associated with closure of loop ileostomy (LI) may be attributed to the various surgical techniques employed for the closure. The purpose of this review was to review the hand-sutured (HS) versus the stapled anastomosis (SA) techniques, used in the reversal of LI. METHODS The MEDLINE, PubMed, CINHAL, Cochrane library and Web of Knowledge databases were searched for ra...

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Clostridium difficile disease: Diagnosis, pathogenesis, and treatment update.

Clostridium difficile infections are the leading cause of health care-associated infectious diarrhea, posing a significant risk for both medical and surgical patients. Because of the significant morbidity and mortality associated with C difficile infections, knowledge of the epidemiology of C difficile in combination with a high index of suspicion and susceptible patient populations (including ...

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ژورنال

عنوان ژورنال: Journal of Trauma and Acute Care Surgery

سال: 2017

ISSN: 2163-0755

DOI: 10.1097/ta.0000000000001498