严重结肠炎和中毒性巨结肠的处理方法

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Clinics in Colon and Rectal Surgery Pub Date : 2023-12-29 DOI:10.1055/s-0043-1777665

Marjorie R. Liggett, Hasan B. Alam

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引用次数: 0

摘要

重症结肠炎是一种定义明确的病症，包含多种病因，但最常见的病因是重症溃疡性结肠炎或艰难梭菌感染。如果伴有肠扩张和全身症状，严重结肠炎可演变为中毒性结肠炎或中毒性巨结肠，从而危及生命，通常需要多学科治疗。内科治疗在中毒性巨结肠的初期治疗中仍然发挥着重要作用。然而，及时的手术干预可以挽救生命。

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Management of Severe Colitis and Toxic Megacolon

Severe colitis is a well-defined condition encompassing several etiologies but is most often caused by severe ulcerative colitis or Clostridioides difficile infection. Severe colitis can evolve into toxic colitis, or toxic megacolon when associated with bowel dilation and systemic manifestations, resulting in a life-threatening scenario where multidisciplinary management is often required. Medical management continues to play an important role in the initial treatment of toxic megacolon. However, timely surgical intervention can be lifesaving.

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来源期刊

Clinics in Colon and Rectal Surgery GASTROENTEROLOGY & HEPATOLOGYSURGERY-SURGERY

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： Clinics in Colon and Rectal Surgery is a review journal that publishes topic-specific issues on diseases of the small bowel, colon, rectum, and anus. Designed for clinicians, researchers, and educators involved with diseases of the intestinal tract, the journal covers a broad spectrum of basic information, controversial clinical issues, and established and innovative diagnostic techniques. Issue topics comprehensively cover the entire specialty over a 3-4 year period, allowing the articles to serve as study material for educational programs and certifying examinations. The inclusion of research and clinical material also allows physicians to remain knowledgeable of current advances in the specialty.