Rettocolite ulcerosa in urgenza ed emergenza: Nostra esperienza

Translated title of the contribution: Urgent ulcerative colitis: Our experience

S. Miniello, M. Nacchiero, M. Testini, N. Tomasicchio, G. Cristallo, G. Lissidini, G. M. Bonomo

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The authors refer their experience in Urgent Ulvcerative Colitis. They define the various clinical maniferstations and then specify the necessary elements for a corrent nosological arrangement. About diagnosis, their confirm the inconvenience of clinical examination like as colonscopy or an opaque clysma, giving their choice to other parameters, like as clinical, hematic (PCR), microscopic and cultural of the faeces, radiological (direct abdomen radiography; abaomino-pelvic echography; abdomino-pelvic TC, better if spiral), endoscopic (rectoscopy with minimal insufflation). They explain their guideline about medical therapy, the strategy adopted in relation to its duration, the protocol of evaluation during the administration period and the predictive sighs of its possible failure. After having precised the surgical indications, they stop a little about the timing of a surgical interventation, underlining its primary importance. In the range of a surgical strategy. They give their choice to the total colectomy with associated ioleostomy for its less incidence of complications and mortality versus proctocolectomy, reserving this last one to that cases with irreprensible rectal hemorragy, with preservation of the anal canal for a possible delayed ileo-anal anastomosis. They also think, at last, that after an Urgent Total Colectomy, the immediate ileo-rectum anastomosis could have an high risk of dehiscence of the anastomosis itself and so it must be reserved only to that selected cases which offer local and general guarantees of solidity of the anastomosis and it must be preferably done joinrly whith a loop ileostomy at the bottom of the anastomosis itself.

Original languageItalian
Pages (from-to)547-553
Number of pages7
JournalAnnali Italiani di Chirurgia
Volume74
Issue number5
Publication statusPublished - Sep 2003

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Colectomy
Ulcerative Colitis
Ileostomy
Insufflation
Anal Canal
Colitis
Rectum
Feces
Radiography
Abdomen
Ultrasonography
Guidelines
Polymerase Chain Reaction
Mortality
Incidence
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Miniello, S., Nacchiero, M., Testini, M., Tomasicchio, N., Cristallo, G., Lissidini, G., & Bonomo, G. M. (2003). Rettocolite ulcerosa in urgenza ed emergenza: Nostra esperienza. Annali Italiani di Chirurgia, 74(5), 547-553.

Rettocolite ulcerosa in urgenza ed emergenza : Nostra esperienza. / Miniello, S.; Nacchiero, M.; Testini, M.; Tomasicchio, N.; Cristallo, G.; Lissidini, G.; Bonomo, G. M.

In: Annali Italiani di Chirurgia, Vol. 74, No. 5, 09.2003, p. 547-553.

Research output: Contribution to journalArticle

Miniello, S, Nacchiero, M, Testini, M, Tomasicchio, N, Cristallo, G, Lissidini, G & Bonomo, GM 2003, 'Rettocolite ulcerosa in urgenza ed emergenza: Nostra esperienza', Annali Italiani di Chirurgia, vol. 74, no. 5, pp. 547-553.
Miniello S, Nacchiero M, Testini M, Tomasicchio N, Cristallo G, Lissidini G et al. Rettocolite ulcerosa in urgenza ed emergenza: Nostra esperienza. Annali Italiani di Chirurgia. 2003 Sep;74(5):547-553.
Miniello, S. ; Nacchiero, M. ; Testini, M. ; Tomasicchio, N. ; Cristallo, G. ; Lissidini, G. ; Bonomo, G. M. / Rettocolite ulcerosa in urgenza ed emergenza : Nostra esperienza. In: Annali Italiani di Chirurgia. 2003 ; Vol. 74, No. 5. pp. 547-553.
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