Enterostomy can decrease the mortality of patients with Fournier gangrene

doi:10.3748/wjg.v20.i24.7950

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

World J Gastroenterol. Jun 28, 2014; 20(24): 7950-7954
Published online Jun 28, 2014. doi: 10.3748/wjg.v20.i24.7950

Enterostomy can decrease the mortality of patients with Fournier gangrene

Yan-Dong Li, Wei-Fang Zhu, Jian-Jun Qiao, Jian-Jiang Lin

Yan-Dong Li, Jian-Jiang Lin, Department of Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China

Wei-Fang Zhu, Jian-Jun Qiao, Department of Dermatology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China

Author contributions: Li YD and Zhu WF determined the research theme; Li YD, Zhu WF, Qiao JJ and Lin JJ designed the methods and prepared the manuscript; Li YD, Qiao JJ and Zhu WF analyzed and interpreted the data; all authors have read and approved the final version of the manuscript to be published.

Correspondence to: Dr. Wei-Fang Zhu, Department of Dermatology, First Affiliated Hospital, Zhejiang University School of Medicine, No. 79, Qingchun Road, Hangzhou 310003, Zhejiang Province, China. wfzhu@163.com

Telephone: +86-571-87236559 Fax: +86-571-87236559

Received: February 18, 2014
Revised: April 8, 2014
Accepted: April 28, 2014
Published online: June 28, 2014

Core Tip

Core tip: Fournier gangrene presents as a severe disease with a high mortality. In this study, 51 patients with Fournier gangrene who received enterostomy (enterostomy group) or not (control group) over the past 12 years were included. Their postoperative recovery and outcomes were compared. Ten patients in the enterostomy group and six patients in the control group required skin grafting. Compared with the control group, the time to normal body temperature and average length of hospital stay were significantly shorter, and the case fatality rate was lower, in the enterostomy group. Enterostomy can decrease the fatality rate of Fournier gangrene.