Almogy et al listed factors associated with a poor outcome following surgery for ulcerative colitis in an elderly patient with ulcerative colitis (UC). The authors are from Mount Sinai Medical School in New York City.


Patient selection: age >= 65 years with ulcerative colitis


Indications for surgery:

(1) ulcerative colitis refractory to medical management

(2) toxic megacolon

(3) dysplasia or carcinoma


Poor outcomes included:

(1) death

(2) complication that prolongs the hospitalization

(3) complication requiring a significant intervention


Predictors of a poor outcome:

(1) male gender

(2) low serum albumin (<= 2.8 g/dL)

(3) urgent or emergency surgery


Of these predictors, improving the serum albumin by nutritional support is the one modifiable factor.


NOTE: Considering the age of the population, other significant comorbid conditions would also be risk factors for a poor outcome.


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