Document Detail


Outcome of surgical treatment of intestinal perforation in typhoid fever.
MedLine Citation:
PMID:  20806433     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To represent our clinical experience in the treatment of intestinal perforation arising from typhoid fever.
METHODS: The records of 22 surgically-treated patients with typhoid intestinal perforation were evaluated retrospectively.
RESULTS: There were 18 males and 4 females, mean age 37 years (range, 8-64 years). Presenting symptoms were fever, abdominal pain, diarrhea or constipation. Sixteen cases were subjected to segmental resection and end-to-end anastomosis, while 3 cases received 2-layered primary repair following debridement, one case with multiple perforations received 2-layered primary repair and end ileostomy, one case received segmental resection and end-to-end anastomosis followed by an end ileostomy, and one case received segmental resection and end ileostomy with mucous fistula operation. Postoperative morbidity was seen in 5 cases and mortality was found in one case.
CONCLUSION: Intestinal perforation resulting from Salmonella typhi is an important health problem in Eastern and Southeastern Turkey. In management of this illness, early and appropriate surgical intervention is vital.
Authors:
Aziz Sümer; Ozgür Kemik; Ahmet Cumhur Dülger; Aydemir Olmez; Ismail Hasirci; Erol Kişli; Vedat Bayrak; Gulay Bulut; Cetin Kotan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  16     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-31     Completed Date:  2010-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  4164-8     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Medical Faculty, University of Yüzüncü Yil, Van 6500, Turkey. azizsumer2002@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Digestive System Surgical Procedures / methods*
Female
Humans
Ileostomy / methods
Intestinal Perforation / etiology*,  surgery*
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Turkey
Typhoid Fever / complications*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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