Factors affecting mortality in emergency colectomy for ischemic colitis | ||
| The Egyptian Journal of Surgery | ||
| Article 5, Volume 41, Issue 1, January 2022 PDF (73.06 K) | ||
| DOI: 10.4103/ejs.ejs_269_21 | ||
| Authors | ||
| Amr Abdel Hameed Elhiny; Ahmed Gamal Aldin Othman; Mahmoud Abdelbaky Mahmoud; Emad Al.Sageer | ||
| Abstract | ||
| Methods: From January 2017 to January 2020, we studied the data of patients who had emergency open colectomy at Minia University Hospital and Ain Shams University Hospital. Clinical and surgical indicators linked to postoperative morbidity, mortality, hospital stay, ICU stay, and survival were investigated using logistic regression analysis. Results: 94 patients with ischemic colitis (mean age: 67.4 ± 13.7 years) had emergency open colectomy in this study. The mean duration of the ICU stay and hospital stay were 67 ± 71.2 and 19 ± 19 days respectively. High preoperative lactate levels, a delay of more than 12 hours between the beginning of clinical manifestations and surgery, and the development of postoperative acute renal injury were all statistically linked to increased postoperative mortality. Mortality rate after restoration of intestinal continuity was 8.5%. Conclusion: A high rate of postoperative death is related with emergency open colectomy for ischemic colitis. Lactate levels before surgery, longer duration more than 12 hours wait for surgery, and postoperative acute renal injury were all found to be risk factors of postoperative death. The purpose of this study was to determine the factors that influence postoperative mortality after emergency colectomy for ischemic colitis. | ||
| Keywords | ||
| Emergency; Colon; Surgery; predictors | ||
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