Indications - Colon Resection

Q: Colon resection for fulminant Clostridioides difficile colitis is considered? (select one)

A) a benign condition

B) a malignant condition

Answer: A

The objective of this question is to highlight a kind of a misnomer regarding colon resection. Any condition beside malignancy are described as benign disease irrespective of their intensity. It includes: crohn disease, colon polyps, colonic ischemia or trauma, fulminant Clostridioides difficile colitis and volvulus.

All malignant conditions fall into the malignant bucket including: malignant and premalignant colon lesions, appendiceal cancer, colonic carcinoid, colonic gastrointestinal stromal tumors (GISTs), and metastatic tumors

#surgical-critical-care

References:

1. Xynos E, Gouvas N, Triantopoulou C, Tekkis P, Vini L, Tzardi M, Boukovinas I, Androulakis N, Athanasiadis A, Christodoulou C, Chrysou E, Dervenis C, Emmanouilidis C, Georgiou P, Katopodi O, Kountourakis P, Makatsoris T, Papakostas P, Papamichael D, Pentheroudakis G, Pilpilidis I, Sgouros J, Vassiliou V, Xynogalos S, Ziras N, Karachaliou N, Zoras O, Agalianos C, Souglakos J; [the Executive Team on behalf of the Hellenic Society of Medical Oncology (HeSMO)]. Clinical practice guidelines for the surgical management of colon cancer: a consensus statement of the Hellenic and Cypriot Colorectal Cancer Study Group by the HeSMO. Ann Gastroenterol. 2016 Jan-Mar;29(1):3-17. PMID: 26752945; PMCID: PMC4700843.

2. Lieske B, Ahmad H. Colon Resection. [Updated 2022 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431079/

3. https://www.uptodate.com/contents/overview-of-colon-resection (last accessed March 30, 2023)