Surgical outcomes and prognostic factors of emergency surgery for colonic perforation: would fecal contamination increase morbidity and mortality?

Purpose Complications resulting from colonic perforation are related to secondary peritonitis due to bacterial or fecal contamination. We investigated outcomes of emergency surgery for colonic perforation associated with fecal contamination with regard to early and late postoperative complication ra...

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Bibliographic Details
Published in:International journal of colorectal disease 2015-11, Vol.30 (11), p.1495-1504
Main Authors: Han, Eon Chul, Ryoo, Seung-Bum, Park, Byung Kwan, Park, Ji Won, Lee, Soo Young, Oh, Heung-Kwon, Ha, Heon-Kyun, Choe, Eun Kyung, Moon, Sang Hui, Jeong, Seung-Yong, Park, Kyu Joo
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Adolescent
Adult
Aged
Aged, 80 and over
Colonic Diseases - complications
Colonic Diseases - surgery
Contamination
Emergencies
Feces
Female
Gastroenterology
Hepatology
Humans
Internal Medicine
Intestinal Perforation - complications
Intestinal Perforation - surgery
Male
Medical colleges
Medicine
Medicine & Public Health
Metronidazole
Middle Aged
Mortality
Operative Time
Original Article
Peritonitis - etiology
Postoperative Complications - mortality
Proctology
Retrospective Studies
Risk Factors
Surgery
Treatment Outcome
Young Adult
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Summary:Purpose Complications resulting from colonic perforation are related to secondary peritonitis due to bacterial or fecal contamination. We investigated outcomes of emergency surgery for colonic perforation associated with fecal contamination with regard to early and late postoperative complication rates and mortality rates, and investigated prognostic factors influencing those outcomes. Methods A retrospective analysis of prospectively collected data on factors influencing complications and mortality rates was conducted on data from 152 patients who had undergone emergent operations for colonic perforation between January 2005 and December 2011. Patients were categorized into two groups: those with and without gross fecal contamination at the time of operation. Results Forty-one (26.9 %) patients had gross fecal contamination. Patients who had fetal contamination had a higher Mannheim peritonitis index (31.3 ± 5.1 vs. 21.9 ± 7.2, p  
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-015-2315-6