Results of surgery for inflammatory bowel disease: a further survey of one hospital region.
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.
D000328:Adult; D000367:Age Factors; D000368:Aged; D003082:Colectomy / Q000401:mortality; D003092:Colitis / Q000401:mortality / Q000601:surgery*; D003093:Colitis, Ulcerative / Q000150:complications / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications; D003424:Crohn Disease / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000401:mortality; D007415:Intestinal Obstruction / Q000453:epidemiology; D007416:Intestinal Perforation / Q000401:mortality; D007421:Intestine, Small; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012004:Rectal Neoplasms / Q000150:complications; D012007:Rectum / Q000601:surgery; D013997:Time Factors