Surgery for ulcerative colitis in geriatric patients is safe with similar risk to younger patients

Joseph D. Feuerstein, Thomas Curran, Daniel Alvares, Michael Alosilla, Andrew Lerner, Thomas Cataldo, Kenneth R. Falchuk, Vitaliy Poylin

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective A prior study indicated that postoperative mortality and complications were higher in geriatrics with inflammatory bowel disease (IBD). We sought to assess the rates of surgical complications and mortality in patients aged ≥65 years after colectomy for ulcerative colitis (UC). Methods This is a single center retrospective study at a tertiary care center. We reviewed all hospital discharges with ICD-9 code 556.X between January 2002 and January 2014. Patients were included if they underwent a colectomy for UC. All records were manually reviewed for demographics, complications and mortality within 90 days postoperatively. Results A total of 259 patients underwent surgery for UC during the study period and 34 patients were ≥65 years old (range 65-82) at the time of their surgery. There was no difference in overall length of stay (10.5 days vs. 9.6 days; P = 0.645) or complication rates (44% vs. 47%; P = 0.854) in the ≥65 cohort compared with the under 65 cohort. Mortality was higher in the geriatric cohort but this included only two deaths within 90 days, one of which was unrelated to the surgery, compared with one death related to surgery within 90 days in the younger cohort. Readmissions occurred in 24% of both cohorts within 90 days. Conclusion Geriatric patients undergoing surgery for UC are not at increased risk of surgery-related morbidity or mortality compared with a younger cohort.

Original languageEnglish (US)
Pages (from-to)1356-1360
Number of pages5
JournalEuropean Journal of Gastroenterology and Hepatology
Volume31
Issue number11
DOIs
StatePublished - Nov 1 2019

Keywords

  • colectomy
  • complications
  • inflammatory bowel disease
  • mortality
  • quality
  • ulcerative colitis

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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