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.
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Selected References
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- EWART W. B., LENNARD-JONES J. E. Corticosteroids in preoperative medical management of ulcerative colitis. Do they affect surgical success? Lancet. 1960 Jul 9;2(7141):60–64. doi: 10.1016/s0140-6736(60)91212-5. [DOI] [PubMed] [Google Scholar]
- Ritchie J. K. Ileostomy and excisional surgery for chronic inflammatory disease of the colon: a survey of one hospital region. Gut. 1971 Jul;12(7):528–540. doi: 10.1136/gut.12.7.528. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ritchie J. K. The causes of late mortality in ileostomists. Proc R Soc Med. 1972 Jan;65(1):73–73. [PMC free article] [PubMed] [Google Scholar]
- Ritchie J. K. Ulcerative colitis treated by ileostomy and excisional surgery. Fifteen years' experience at St. Mark's Hospital. Br J Surg. 1972 May;59(5):345–351. doi: 10.1002/bjs.1800590504. [DOI] [PubMed] [Google Scholar]