eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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3/2012
vol. 7
 
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abstract:
Review paper

Perforations in the colon

Grzegorz Ćwik
,
Michał Solecki
,
Aleksander Ciechański
,
Andrzej Prystupa
,
Tomasz Pedowski
,
Grzegorz Wallner

Prz Gastroenterol 2012; 7 (3): 125–132
Online publish date: 2012/08/14
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Perforations in the colon are diseases with serious consequences. Symptoms depend on the cause of perforation, size of fistula, intestinal contents and the local and global body's defence. Perforation of the gastrointestinal tract leads to acute abdominal symptoms whose exponent is usually diffuse or limited peritonitis. The main cause of perforation is cancer of the colon and rectum, and complicated diverticulitis of the colon. Currently a major problem is intestinal fistulas after surgical resection and as the result of iatrogenic complications. The basic principle followed in these cases is prompt diagnosis and early treatment, including immediate laparotomy in order to eliminate the source of infection.
keywords:

perforations in the colon, fistula, peritonitis

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