[Surgery in 100 patients with acute sigmoiditis]. / Etude de 100 dossiers de sigmoïdites traitées en milieu chirurgical

Report on surgery in 100 patients with acute sigmoiditis (54 females, 46 males). The overall average age was 65.5 years; that of females was 68.5 years and of males 61.5 years. Of the total of 100 cases, one third had one or more attacks prior to hospitalization. One third of cases were treated by conservative methods and did not undergo surgery. Surgery (resection or simply derivation) was performed in 63 patients. Eleven patients died: from rupture of anastomosis in 1 case and from general causes or superinfection in 10. The surgical indications and type of surgery are discussed. As far as possible, the affected segment of sigmoid must be resected, with or without establishment of continuity. Terminal colostomy is imperative.

[Familial colonic polyposis (author's transl)]. / La polypose colique familiale.

During the last 5 years, 7 families suffering from familial polyposis coli have been investigated; we found 23 members affected and we operated 10 of them. One of them died of metastases and 9 members of these pedigrees died of carcinoma which appeared at the average age of 41,5 years. This confirms that this condition is the most serious precancerous illness and needs regular controls of all members of these families. At the occasion of this review, we describe the main features of this condition and briefly our surgical attitude.