Prognosis following emergency surgery for ulcerative colitis in elderly patients

详细信息    查看全文

• 作者：Hiroki Ikeuchi (1)
  Motoi Uchino (1)
  Hiroki Matsuoka (1)
  Toshihiro Bando (1)
  Akihiro Hirata (1)
  Yoshio Takesue (2)
  Naohiro Tomita (3)
  Takayuki Matsumoto (1)
  
• 关键词：Ulcerative colitis ; Elderly patients ; Emergency operation ; Prognosis
• 刊名：Surgery Today
• 出版年：2014
• 出版时间：January 2014
• 年：2014
• 卷：44
• 期：1
• 页码：39-43
• 全文大小：206 KB
• 作者单位：Hiroki Ikeuchi (1)
  Motoi Uchino (1)
  Hiroki Matsuoka (1)
  Toshihiro Bando (1)
  Akihiro Hirata (1)
  Yoshio Takesue (2)
  Naohiro Tomita (3)
  Takayuki Matsumoto (1)
  
  1. Inflammatory Bowel Disease Center, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan
  2. Department of Infection Control and Prevention, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan
  3. Department of Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan
  
• ISSN：1436-2813

文摘

Purpose Since 2000, the incidence of ulcerative colitis (UC) in patients over 60?years old has been rapidly increasing. We reviewed our surgical experience of elderly patients with UC treated at our hospital. Methods Patients aged 60?years or older at the time of surgery were defined as “elderly- The medical records of all elderly patients who underwent surgery for UC during a 26-year period were retrospectively analyzed. Results The prognosis of elderly patients who underwent emergency surgery was extremely poor: 8 (26.7?%) of 30 such patients died within 30 postoperative days (PODs), whereas only 1 (0.88?%) of 114 who underwent elective surgery died within 30 PODs. Respiratory tract infection and sepsis resulting from methicillin-resistant Staphylococcus aureus or mycotic infection were the most common causes of death after emergency surgery. Conclusion The prognosis of elderly UC patients undergoing emergency surgery is very poor; thus, physicians and surgeons should collaborate to treat severe and fulminant disease, to optimize the timing of surgery. Early decisions about emergency surgery for UC will reduce postoperative mortality, especially in elderly patients.