title: Management of severe acute colitis in district hospitals.
abstract: Among 10 hospitals of the North East Thames Region, 84 patients were operated on for inflammatory bowel disease in the years 1977-81. There was one death in the 51 patients treated electively. The postoperative mortality was 24% in 33 patients coming to urgent surgery. The factors leading to this continuing high mortality are analysed as a contribution to an improvement in management.
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003093:Colitis, Ulcerative / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy; D003424:Crohn Disease / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery; D008297:Male; D008532:Megacolon, Toxic / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality