Ostomy or intestinal anastomosis in cases of peritonitis

Bibliographic Details
Main Author: Rasslan, Samir
Publication Date: 1995
Other Authors: Fonoff, Alexandre Margutti, Soldá, Silvia Cristine, Casaroli, Armando Angelo
Format: Article
Language: eng
Source: São Paulo medical journal (Online)
Download full: https://periodicosapm.emnuvens.com.br/spmj/article/view/1747
Summary: Twenty-six patients showing peritonitis due to nontraumatic acute abdomen were submitted to ostomy. Mean age was 51 years (range 25-83), being 13 males and 13 females. Bowel obstruction (BO) was the most frequent cause of peritonitis (11 cases), followed by intestinal perforation (IP) (8 cases), acute mesenteric infarction (AMI) (5 cases), and acute abdomen of inflammatory / infectious origin (AAIO) (2 cases). Brook's ileostomy was performed on 65% of the patients. Jejunostomy was performed only in 4 patients, leading to a bad evolution. Overall mortality was 54%. Primary ostomy or anastomosis in cases of peritonitis constitute a highly controversial theme. Indications and problems involving the intestinal exteriorization in emergency surgery urgency are herein discussed.
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spelling Ostomy or intestinal anastomosis in cases of peritonitisOstomyIntestinal anastomosisAcute abdomenPeritonitisTwenty-six patients showing peritonitis due to nontraumatic acute abdomen were submitted to ostomy. Mean age was 51 years (range 25-83), being 13 males and 13 females. Bowel obstruction (BO) was the most frequent cause of peritonitis (11 cases), followed by intestinal perforation (IP) (8 cases), acute mesenteric infarction (AMI) (5 cases), and acute abdomen of inflammatory / infectious origin (AAIO) (2 cases). Brook's ileostomy was performed on 65% of the patients. Jejunostomy was performed only in 4 patients, leading to a bad evolution. Overall mortality was 54%. Primary ostomy or anastomosis in cases of peritonitis constitute a highly controversial theme. Indications and problems involving the intestinal exteriorization in emergency surgery urgency are herein discussed.São analisados 26 doentes submetidos à estomia na vigência de peritonite por abdome agudo não traumático. A faixa etária variou de 25 a 83 anos, com média de idade de 51 anos. Não houve predomínio quanto ao sexo. O abdome agudo obstrutivo (AAO) foi a causa mais freqüente de peritonite (11 casos), seguido do abdome agudo perfurativo (AAP) em 8, abdome agudo vascular (AAV) em 5 e inflamatório (AAI) em 2. Na maioria dos doentes (65%) foi realizada ileostomia à Brooke. Em apenas 4 praticou-se a jejunostomia, observando-se má evolução. A mortalidade global foi de 54%. A realização de estomia ou anastomose primária na presença de peritinite constitui um tema com muitas controvérsias. Neste artigo são discutidas as indicações e os problemas envolvendo a exteriorização intestinal na urgência.São Paulo Medical JournalSão Paulo Medical Journal1995-11-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicosapm.emnuvens.com.br/spmj/article/view/1747São Paulo Medical Journal; Vol. 113 No. 6 (1995); 1017-1021São Paulo Medical Journal; v. 113 n. 6 (1995); 1017-10211806-9460reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APMenghttps://periodicosapm.emnuvens.com.br/spmj/article/view/1747/1641https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRasslan, SamirFonoff, Alexandre MarguttiSoldá, Silvia CristineCasaroli, Armando Angelo2023-09-12T10:55:13Zoai:ojs.diagnosticoetratamento.emnuvens.com.br:article/1747Revistahttp://www.scielo.br/spmjPUBhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2023-09-12T10:55:13São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Ostomy or intestinal anastomosis in cases of peritonitis
title Ostomy or intestinal anastomosis in cases of peritonitis
spellingShingle Ostomy or intestinal anastomosis in cases of peritonitis
Rasslan, Samir
Ostomy
Intestinal anastomosis
Acute abdomen
Peritonitis
title_short Ostomy or intestinal anastomosis in cases of peritonitis
title_full Ostomy or intestinal anastomosis in cases of peritonitis
title_fullStr Ostomy or intestinal anastomosis in cases of peritonitis
title_full_unstemmed Ostomy or intestinal anastomosis in cases of peritonitis
title_sort Ostomy or intestinal anastomosis in cases of peritonitis
author Rasslan, Samir
author_facet Rasslan, Samir
Fonoff, Alexandre Margutti
Soldá, Silvia Cristine
Casaroli, Armando Angelo
author_role author
author2 Fonoff, Alexandre Margutti
Soldá, Silvia Cristine
Casaroli, Armando Angelo
author2_role author
author
author
dc.contributor.author.fl_str_mv Rasslan, Samir
Fonoff, Alexandre Margutti
Soldá, Silvia Cristine
Casaroli, Armando Angelo
dc.subject.por.fl_str_mv Ostomy
Intestinal anastomosis
Acute abdomen
Peritonitis
topic Ostomy
Intestinal anastomosis
Acute abdomen
Peritonitis
description Twenty-six patients showing peritonitis due to nontraumatic acute abdomen were submitted to ostomy. Mean age was 51 years (range 25-83), being 13 males and 13 females. Bowel obstruction (BO) was the most frequent cause of peritonitis (11 cases), followed by intestinal perforation (IP) (8 cases), acute mesenteric infarction (AMI) (5 cases), and acute abdomen of inflammatory / infectious origin (AAIO) (2 cases). Brook's ileostomy was performed on 65% of the patients. Jejunostomy was performed only in 4 patients, leading to a bad evolution. Overall mortality was 54%. Primary ostomy or anastomosis in cases of peritonitis constitute a highly controversial theme. Indications and problems involving the intestinal exteriorization in emergency surgery urgency are herein discussed.
publishDate 1995
dc.date.none.fl_str_mv 1995-11-11
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicosapm.emnuvens.com.br/spmj/article/view/1747
url https://periodicosapm.emnuvens.com.br/spmj/article/view/1747
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://periodicosapm.emnuvens.com.br/spmj/article/view/1747/1641
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv São Paulo Medical Journal
São Paulo Medical Journal
publisher.none.fl_str_mv São Paulo Medical Journal
São Paulo Medical Journal
dc.source.none.fl_str_mv São Paulo Medical Journal; Vol. 113 No. 6 (1995); 1017-1021
São Paulo Medical Journal; v. 113 n. 6 (1995); 1017-1021
1806-9460
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
_version_ 1825135067592130560

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