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Acute Malignant Obstruction of the Left Colon: An Indication for Total Abdominal Colectomy?

Acute Malignant Obstruction of the Left Colon: An Indication for Total Abdominal Colectomy? Abstract To the Editor. —We read with interest the article by Walsh et al1 concerning the quality of life after total abdominal colectomy (TAC). Although their patients ranged in age from 30 to 87 years (mean age, 61 years) and only 6.5% of the patients in the series underwent emergency TAC, we would like to emphasize that their results and conclusions are also applicable in the management of older patients with acute malignant obstruction of the left colon, which has become an increasingly recognized indication for TAC. During a 4½-year period at the Royal Gwent Hospital, Newport, Gwent, United Kingdom, 63% of patients undergoing immediate resection for acute left-sided malignant colonic obstruction underwent radical subtotal or total colectomy.2 These patients ranged in age from 50 to 88 years (mean age, 73 years) and were compared with a group of patients undergoing more conventional management. Mortality was 3% in patients References 1. Walsh RM, Aranha GV, Freeark RJ. Mortality and quality of life after total abdominal colectomy . Arch Surg . 1990;125:1564-1566.Crossref 2. Stephenson BM, Shandall AA, Farouk R, Griffith G. Malignant left-sided large bowel obstruction managed by subtotal/total colectomy . Br J Surg . 1990;77:1098-1102.Crossref 3. Serpell JW, McDermott FT, Katrivessis H, Hughes ESR. Obstructing carcinomas of the colon . Br J Surg . 1989;76:965-969.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Acute Malignant Obstruction of the Left Colon: An Indication for Total Abdominal Colectomy?

Archives of Surgery , Volume 126 (6) – Jun 1, 1991

Acute Malignant Obstruction of the Left Colon: An Indication for Total Abdominal Colectomy?

Abstract

Abstract To the Editor. —We read with interest the article by Walsh et al1 concerning the quality of life after total abdominal colectomy (TAC). Although their patients ranged in age from 30 to 87 years (mean age, 61 years) and only 6.5% of the patients in the series underwent emergency TAC, we would like to emphasize that their results and conclusions are also applicable in the management of older patients with acute malignant obstruction of the left colon, which has become an...
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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1991.01410300136026
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —We read with interest the article by Walsh et al1 concerning the quality of life after total abdominal colectomy (TAC). Although their patients ranged in age from 30 to 87 years (mean age, 61 years) and only 6.5% of the patients in the series underwent emergency TAC, we would like to emphasize that their results and conclusions are also applicable in the management of older patients with acute malignant obstruction of the left colon, which has become an increasingly recognized indication for TAC. During a 4½-year period at the Royal Gwent Hospital, Newport, Gwent, United Kingdom, 63% of patients undergoing immediate resection for acute left-sided malignant colonic obstruction underwent radical subtotal or total colectomy.2 These patients ranged in age from 50 to 88 years (mean age, 73 years) and were compared with a group of patients undergoing more conventional management. Mortality was 3% in patients References 1. Walsh RM, Aranha GV, Freeark RJ. Mortality and quality of life after total abdominal colectomy . Arch Surg . 1990;125:1564-1566.Crossref 2. Stephenson BM, Shandall AA, Farouk R, Griffith G. Malignant left-sided large bowel obstruction managed by subtotal/total colectomy . Br J Surg . 1990;77:1098-1102.Crossref 3. Serpell JW, McDermott FT, Katrivessis H, Hughes ESR. Obstructing carcinomas of the colon . Br J Surg . 1989;76:965-969.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1991

References