1. Results of Surgery for Inflammatory Bowel Disease: A Further Survey of One Hospital Region
- Author
-
Jean K. Ritchie
- Subjects
Adult ,Male ,medicine.medical_specialty ,Time Factors ,medicine.medical_treatment ,Perforation (oil well) ,Rectum ,Inflammatory bowel disease ,Ileostomy ,Postoperative Complications ,Crohn Disease ,Intestine, Small ,medicine ,Humans ,In patient ,Colitis ,Colectomy ,Acute colitis ,Aged ,General Environmental Science ,Rectal Neoplasms ,business.industry ,General surgery ,Age Factors ,General Engineering ,Papers and Originals ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Intestinal Perforation ,Colonic Neoplasms ,General Earth and Planetary Sciences ,Colitis, Ulcerative ,Female ,business ,Intestinal Obstruction - Abstract
Case records have been studied for the results of surgery in 294 patients operated on for inflammatory bowel disease during 1967-72 at 34 non-teaching hospitals within the North-east Metropolitan Hospital Region. All patients treated surgically for acute colitis and those treated for chronic disease by total colectomy were included. The postoperative mortality of the primary surgery was 23·7%. The mortality was 2·1% in patients treated by elective operation, 37·6% in patients coming to urgent operation, and 60·9% in patients treated by emergency operation. The three most important factors affecting the mortality were considered to be: increasing age of the patient, the presence of established colonic dilatation, and preoperative perforation of the colon.
- Published
- 1974
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