La chirurgia nella rettocolite ulcerosa grave: nostra esperienza


COD: 2003_05_543-546 Categorie: ,

M. Ghirardi, F. Di Fabio, P. P. Mariani, R. Nascimbeni, B. Salerni

Ann. Ital. Chir., LXXIV, 5, 2003

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Background and aims: The mortality in severe episodes of ulcerative colitis (UC) has been reduced from 31-61% in the 1950 to 1-3%. Nevertheless it remains high in non specialist centers. Simple criteria are necessary to predict the outcome of severe ulcerative colitis.
Methods: 14 patients hospitalized for severe disease (Truelove and Witts criteria) from 1996 to 2000 were retrospectively analyzed. Patients were divided into two groups: 1. Group A: patients with severe disease surgically treated. 2. Group B: patients with severe disease responders to medical therapy.
Sex, age, length of steroids medical therapy, fever, stool fre – quency, CRP, ESR, haemoglobinemia, leukocytes, serum albumin values in the three days before the operation or during the hospitalization were collected.