[Surgery of XXXX : a study of 155 @entity1 after intestinal resection (author's transl)].

@entity1 @entity821 @entity30 @entity254
Operative mortality after intestinal resection in 155 @entity1 with @entity30 was 8.4%. In 12 of 13 the cause of death was septic complications, most of them related to prolonged pre-operative @entity821 medication. Follow-up examination was possible in 90% of all discharges. Five-year recurrence rate was 37.6%. Recurrence was not prevented by long-term drug treatment. Purely macroscopic assessment of the resection margins would have led to excision within diseased gut: for this reason frozen sections are recommended before the @entity254 is made. Primary death-rate in 30 cases of colectomy with primary ileorectostomy was 3%. In three @entity1 the rectum had to be excised, while in one the @entity254 had to be taken down because of recurrence. The failure rate was thus only 11%. If rectoscopy, stepwise biopsy and intra-operative frozen section indicate a normal rectum it is recommended that ileorectostomy be done rather than diversion ileostomy with occlusion of the rectum or even proctocolectomy.
