Invited Commentary

Complicated or fulminant forms of Clostridium difficile infection (CDI) in adults may cause sepsis and hemodynamic collapse despite maximal medical therapy, necessitating emergent operative treatment. This scenario evokes difficult decisions about operative timing and the nature of the operation itself. The standard operative procedure has been emergent total abdominal colectomy (TAC) with end ileostomy and a stapled rectal stump.1 Operative mortality has been persistently high, and patients surviving the resection have poor long-term survival.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: New England surgical society article Source Type: research