{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T03:45:17Z","timestamp":1765079117331},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[1992,7,1]],"date-time":"1992-07-01T00:00:00Z","timestamp":709948800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1992,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Subtotal colectomy with preservation of the rectum is now the procedure of choice for patients with severe colitis requiring emergency surgery. The use of subcutaneous \u2018rectal closure\u2019 when the retained distal bowel is placed at the caudal end of the abdominal incision in the subcutaneous or fasical layer is studied. An anal catheter may be placed to drain the rectum. Thirty-two patients (14 men, 18 women) of mean age 33 (range 17\u201377) years with severe inflammatory bowel disease (29 ulcerative colitis, one Crohn's disease, one indeterminate colitis, one Camphylobacter colitis) underwent emergency colectomy with subcutaneous rectal stump closure. Twenty-three stumps were closed with staples, four sutured and five by both staples and sutures. Complications developed in seven patients (22 per cent), of which two required surgical intervention. One significant wound infection was treated successfully with a course of antibiotics. Three minor wound infections did not require specific treatment. The rectal stump was always readily located at the time of restorative surgery. This techniques is recommended as a simple and safe alternative to an open mucus fistula provided that surgeons adhere to standard surgical principles; in particular the distal bowel should not be brought out into the wound under tension.<\/jats:p>","DOI":"10.1002\/bjs.1800790737","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T17:05:21Z","timestamp":1172941521000},"page":"701-703","source":"Crossref","is-referenced-by-count":41,"title":["Subcutaneous rectal stump closure after emergency subtotal colectomy"],"prefix":"10.1093","volume":"79","author":[{"given":"R L H","family":"Ng","sequence":"first","affiliation":[{"name":"Department of Surgery, John Radcliffe Hospital , Oxford,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A H","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Surgery, John Radcliffe Hospital , Oxford,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R H","family":"Grace","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Royal Hospital , Wolverhampton,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N J McC","family":"Mortensen","sequence":"additional","affiliation":[{"name":"Department of Surgery, John Radcliffe Hospital , Oxford,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1992,7,1]]},"reference":[{"key":"2024092811120424500_bib1","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1016\/S0025-7125(16)31560-7","article-title":"Ulcerative colitis and Crohn's disease of the colon. A review of surgical options","volume":"64","author":"Fazio","year":"1980","journal-title":"Med Clin North Am"},{"key":"2024092811120424500_bib2","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/BF02393575","article-title":"Proctocolectomy for ulcerative colitis","volume":"4","author":"Lee","year":"1980","journal-title":"World J Surg"},{"key":"2024092811120424500_bib3","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/BF01658049","article-title":"Emergency surgery for ulcerative colitis","volume":"12","author":"Hawley","year":"1988","journal-title":"World J Surg"},{"key":"2024092811120424500_bib4","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1007\/BF01655016","article-title":"Urgent surgery for ulcerative colitis: early colectomy on 132 patients","volume":"5","author":"Albrechtsen","year":"1981","journal-title":"World J Surg"},{"key":"2024092811120424500_bib5","first-page":"462","article-title":"Rectal mucous \u2018pre-fistula\u2019 with emergency subtotal colectomy amd ileostomy for acute ulcerative colitis","volume":"160","author":"Motson","year":"1985","journal-title":"Surg Gynecol Obstet"},{"key":"2024092811120424500_bib6","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1002\/bjs.1800760731","article-title":"Conservative proctocolectomy: a dubious option in ulcerative colitis","volume":"76","author":"Talbot","year":"1989","journal-title":"Br J Surg"},{"key":"2024092811120424500_bib7","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/BF00298483","article-title":"Conservative proctocolectomy with low transection of the ano-rectum is a poor alternative to conventional proctocolectomy in inflammatory bowel disease","volume":"5","author":"Winslett","year":"1990","journal-title":"Int J Colorectal Dis"},{"key":"2024092811120424500_bib8","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1007\/BF02552266","article-title":"Surgical treatment of ulcerative colitis in Stockholm County, 1955 to 1984","volume":"32","author":"Leijonmarck","year":"1989","journal-title":"Dis Colon Rectum"},{"key":"2024092811120424500_bib9","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1097\/00004836-198504000-00007","article-title":"Outcome of toxic dilatation in ulcerative colitis and Crohn's colitis","volume":"7","author":"Greenstein","year":"1985","journal-title":"J Clin Gastroenterol"},{"key":"2024092811120424500_bib10","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/S0300-5089(21)00456-9","article-title":"Toxic megacolon in ulcerative colitis and Crohn's disease","volume":"9","author":"Fazio","year":"1980","journal-title":"Clin Gastroenterol"},{"key":"2024092811120424500_bib11","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/0002-9610(70)90017-6","article-title":"Single-stage proctocolectomy for severe ulcerative colitis","volume":"119","author":"Scott","year":"1970","journal-title":"Am J Surg"},{"key":"2024092811120424500_bib12","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1080\/00365521.1975.12096989","article-title":"Early colectomy in severe ulcerative colitis","volume":"10","author":"Flatmark","year":"1975","journal-title":"Scand J Gastroenterol"},{"key":"2024092811120424500_bib13","first-page":"117","article-title":"Postoperative mortality and complications after colectomy for ulcerative colitis","volume":"37","author":"Koudahl","year":"1976","journal-title":"Scand J Gastroenterol"},{"key":"2024092811120424500_bib14","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1136\/gut.12.7.528","article-title":"Ileostomy and excisional surgery for chronic inflammatory disease of the colon: a survey of one hospital region. Part I. Results and complications of surgery","volume":"12","author":"Ritchie","year":"1971","journal-title":"Gut"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800790737","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/79\/7\/701\/59398185\/bjs1800790737.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/79\/7\/701\/59398185\/bjs1800790737.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T11:12:11Z","timestamp":1727521931000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/79\/7\/701\/6173258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,7,1]]},"references-count":14,"journal-issue":{"issue":"7","published-online":{"date-parts":[[1992,7,1]]},"published-print":{"date-parts":[[1992,7,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800790737","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1992,7]]},"published":{"date-parts":[[1992,7,1]]}}}