Two cases of ulcerative colitis complicated with toxic megacolon.

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  • Noto T.
    Department of Surgery II, Tokai University Hospital
  • Kim T.
    Department of Surgery II, Tokai University Hospital
  • Koh S.
    Department of Surgery II, Tokai University Hospital
  • Tajima T.
    Department of Surgery II, Tokai University Hospital
  • Mitomi T.
    Department of Surgery II, Tokai University Hospital

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  • Ｔｏｘｉｃ　Ｍｅｇａｃｏｌｏｎ（中毒性巨大結腸症）を合併したかいよう性大腸炎の２例

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With the progress of the medical treatment of ulcerative colitis, patients with toxic me- gacolon are not very often encountered. However, once the ulcerative colitis is complicated with toxic megacolon, its prognosis is poor. Although it is important to judge accurately the indication for surgical treatment, there is considerable controversy about the operative procedures.<BR>We have experienced two cases of toxic megacolon, for one of which subtotal colectomy with ileostomy was performed, and for the other, subtotal colectomy was done three days after the initial operation by Turnbull's procedure.<BR>The patients are still alive.<BR>From our experience and a review of the literature, one-step colectomy seems to be better than Turnbull's procedure as the initial surgical treatment for toxic megacolon.

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