Publications by authors named "L F Sobrado"
Aim: Total proctocolectomy (TPC) is the standard of care for patients with ulcerative colitis (UC) and dysplasia not amenable to endoscopic management. However, the risks of an extensive resection may outweigh the benefits in high-risk surgical patients. Therefore, we performed a systematic review and meta-analysis to assess postoperative outcomes between segmental colectomy (SEG) versus TPC in patients with UC.
View Article and Find Full Text PDFBackground: Deloyers technique addresses challenges in restoring bowel continuity following extended left hemicolectomies. Despite being first described in 1958, the technique remains underutilized, with limited data on long-term outcomes.
Objective: To evaluate the indications, surgical and functional outcomes of Deloyers technique and review existing literature.
Article Synopsis
- The study examines the outcomes of surgical treatment for acute colonic pseudo-obstruction (ACPO), challenging the belief that surgery should be avoided due to high mortality rates.
- A total of 32 patients underwent various surgical interventions between 2009 and 2022, with a majority initially receiving nonoperative treatment.
- Although complications occurred, the study found lower 30-day (6.3%) and 90-day (15.6%) mortality rates than previously reported, suggesting surgery can be effective for ACPO when medical therapy fails.
Background: Despite major advances in the clinical treatment of inflammatory bowel disease, some patients still present with acute colitis and require emergency surgery.
Aims: To evaluate the risk factors for early postoperative complications in patients undergoing surgery for acute colitis in the era of biologic therapy.
Methods: Patients with inflammatory bowel disease admitted for acute colitis who underwent total colectomy at a single tertiary hospital from 2012 to 2022 were evaluated.