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Early Local Complications From Intestinal Stomas-Reply

Early Local Complications From Intestinal Stomas-Reply This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply.—I agree with the contention that preoperative radiation to the skin and bowel increases the morbidity for construction of intestinal stomas. In fairness to Dr Roberts, almost all of the patients in the gynecologic oncology group had received preoperative radiation therapy. However, of the 17 patients in this group in whom stomal complications developed, 11 (65%) had necrosis of their stomas. Surely, the disproportionate incidence of this serious complication cannot be attributed to the effects of radiation therapy alone. It was not my intention in presenting these data to point an accusing finger at any particular group of specialists. Rather, I hoped to help make us all aware of how important attention to detail is in the construction of intestinal stomas, since many of these complications are preventable. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Early Local Complications From Intestinal Stomas-Reply

Archives of Surgery , Volume 122 (1) – Jan 1, 1987

Early Local Complications From Intestinal Stomas-Reply

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply.—I agree with the contention that preoperative radiation to the skin and bowel increases the morbidity for construction of intestinal stomas. In fairness to Dr Roberts, almost all of the patients in the gynecologic oncology group had received preoperative radiation therapy. However, of the 17 patients in this group in whom stomal...
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Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1987.01400130125025
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply.—I agree with the contention that preoperative radiation to the skin and bowel increases the morbidity for construction of intestinal stomas. In fairness to Dr Roberts, almost all of the patients in the gynecologic oncology group had received preoperative radiation therapy. However, of the 17 patients in this group in whom stomal complications developed, 11 (65%) had necrosis of their stomas. Surely, the disproportionate incidence of this serious complication cannot be attributed to the effects of radiation therapy alone. It was not my intention in presenting these data to point an accusing finger at any particular group of specialists. Rather, I hoped to help make us all aware of how important attention to detail is in the construction of intestinal stomas, since many of these complications are preventable.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jan 1, 1987

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