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Trauma of the Colon and Rectum

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The ASCRS Manual of Colon and Rectal Surgery

Abstract

  • Reduction of colon-related mortality from about 60 % during World War I.

  • 40 % during World War II.

  • 10 % during the Vietnam War.

  • Lower than 3 % in the last few decades.

  • The abdominal sepsis rate has remained significant at about 20 %.

  • No other organ injury is associated with a higher septic complication rate than colon injury.

  • In patients with colon injuries with a Penetrating Abdominal Trauma Index (PATI) >25 or with multiple blood transfusions, the incidence of intra-abdominal sepsis is as high as 27 %.

  • In patients with destructive colon injuries requiring resection, the reported incidence of abdominal complications is about 24 %.

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Author information

Authors and Affiliations

  1. American College of Surgeons, 633 N. Saint Clair St., Chicago, IL, 60611, USA

    David B. Hoyt MD, FACS

  2. Department of Surgery, University of California Irvine School of Medicine, Orange, CA, USA

    Michael E. Lekawa MD, FACS

Authors
  1. David B. Hoyt MD, FACS
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  2. Michael E. Lekawa MD, FACS
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Corresponding author

Correspondence to David B. Hoyt MD, FACS .

Editor information

Editors and Affiliations

  1. Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana, USA

    David E. Beck

  2. Department of Colorectal Surgery Digestive Disease Center, Cleveland Clinic Florida, Weston, Florida, USA

    Steven D. Wexner

  3. Department of Colorectal Surgery, The Cleveland Clinic Foundation Digestive Disease Institute, Cleveland, Ohio, USA

    Tracy L. Hull

  4. Department of Colon and Rectal Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts, USA

    Patricia L. Roberts

  5. Division of Colon and Rectal Surgery, Loyola University Medical Center Professor of Surgery, Head, Maywood, Illinois, USA

    Theodore J. Saclarides

  6. Chairman, Surgical Disciplines, Central Michigan University School of Medicine, Mount Pleasant, Michigan, USA

    Anthony J. Senagore

  7. Department of Surgery John E. Connolly Chair, University of California, Irvine School of Medicine, Irvine, California, USA

    Michael J. Stamos

  8. University of Washington Department of Surgery, Madigan Army Medical Center Department of Colon & Rectal Surgery, Fort Lewis, Washington, USA

    Scott R. Steele

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© 2014 Springer Science+Business Media New York

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Hoyt, D.B., Lekawa, M.E. (2014). Trauma of the Colon and Rectum. In: Beck, D., et al. The ASCRS Manual of Colon and Rectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8450-9_26

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  • DOI: https://doi.org/10.1007/978-1-4614-8450-9_26

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8449-3

  • Online ISBN: 978-1-4614-8450-9

  • eBook Packages: MedicineMedicine (R0)

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