The American Journal of Surgery
Volume 188, Issue 6 , Pages 663-670 , December 2004

The conundrum of traumatic colon injury

Presented at the 56th Annual Meeting of the Southwestern Surgical Congress, Monterey, California, April 18–21, 2004

  • Michael Fealk, D.O.

      Affiliations

    • Department of General Surgery, Maricopa Integrated Health Systems, 2601 E. Roosevelt Avenue, Phoenix, AZ 85008, USA
    • ,
  • Robert Osipov, M.D.

      Affiliations

    • Department of General Surgery, Maricopa Integrated Health Systems, 2601 E. Roosevelt Avenue, Phoenix, AZ 85008, USA
    • ,
  • Kevin Foster, M.D. (F.A.C.S.)

      Affiliations

    • Department of General Surgery, Maricopa Integrated Health Systems, 2601 E. Roosevelt Avenue, Phoenix, AZ 85008, USA
    • ,
  • Daniel Caruso, M.D. (F.A.C.S.)

      Affiliations

    • Department of General Surgery, Maricopa Integrated Health Systems, 2601 E. Roosevelt Avenue, Phoenix, AZ 85008, USA
    • ,
  • Andrew Kassir, M.D. (F.A.C.S., F.R.C.S.I., F.A.S.C.R.S.)

      Affiliations

    • Department of General Surgery, Maricopa Integrated Health Systems, 2601 E. Roosevelt Avenue, Phoenix, AZ 85008, USA
    • Corresponding Author InformationCorresponding author: Tel.: +1-602-344-5441; fax: +1-602-344-5048.

Received 12 August 2004 ,Revised 12 August 2004

References 

  1. Curran TJ , Borzotta AP . Complication of primary repair of colon injuries (literature review of 2964 cases) . Am J Surg . 1999;177:42–47
  2. George SM , Fabian TC , Voeller GR , et al.   Primary repair of colon wounds (a prospective trial in nonselected patients) . Ann Surg . 1989;209:728
  3. Moore EE , Cogbill TH , Malangoni MA , et al.   Organ injury scaling II (pancreas, duodenum, small bowel, colon, and rectum) . J Trauma . 1990;30:1427–1429
  4. Moore EE , Shackford SR , Pachter HL , et al.   Organ injury scaling (spleen, liver, and kidney) . J Trauma . 1989;29:1664–1666
  5. Moore EE , Dunn EL , Moore JB , Thompson JS . Penetrating abdominal trauma index . J Trauma . 1981;21:439–446
  6. Eshragi N , Mullins RJ , et al.   Surveyed opinion of American trauma surgeons in management of colon injuries . J Trauma . 1998;44:93–97
  7. emetriades D , Murray JA , Chan L , et al.   penetrating colon injuries requiring resection: diversion or primary anastomosis? an AAST prospective multicenter study . J Trauma . 2001;50:765–775
  8. Chappuis CW , Frey DJ , Dietzen CD , et al.   Management of penetrating colon injuries (a prospective randomized trial) . Ann Surg . 1991;213:492–498
  9. Burch JM , Martin RR , Richardson RJ , et al.   Evolution of the treatment of the injured colon in the 1980s . Arch Surg . 1991;126:979–984
  10. Taheri PA , Ferrara JJ , Johnson CE , et al.   A convincing case for primary repair of penetrating colon injuries . Am J Surg . 1993;166:39–44
  11. Ivatury RR , Gaudino J , Nallathambi MN , et al.   Definitive treatment of colon injuries (a prospective study) . Am Surg . 1993;59:43–50
  12. Gonzales RP , Merlotti GJ , Holevar MR . Colostomy in penetrating injury (is it necessary?) . J Trauma . 1996;42:271–275
  13. Sasaki LS , Allaben RD , Golwala R , Mittal VK . Primary repair of colon injuries (a prospective randomized study) . J Trauma . 1995;39:895–901
  14. Office of the Surgeon General . Circular Letter No. 178 . 1943; October 28
  15. Stone HH , Fabian TC . Management of perforating colon trauma (randomization between primary closure and exteriorization) . Ann Surg . 1979;190:430–433
  16. Crass RA , Salbi F , Trunkey DD . Colostomy closure after colon injury (a low-morbidity procedure) . J Trauma . 1987;27:1237–1239
  17. Parks SE , Hastings PR . Complications of colostomy closure . Am J Surg . 1985;149:672–675
  18. Stewart RM , Fabian TC , Croce MA , et al.   Is resection with primary anastomosis following destructive colon wound always safe? . Am J Surg . 1994;168:316–319

PII: S0002-9610(04)00422-2

doi: 10.1016/j.amjsurg.2004.08.057

The American Journal of Surgery
Volume 188, Issue 6 , Pages 663-670 , December 2004

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