Our Summary

This study is looking at the differences in outcomes between planned (’elective’) and emergency surgeries to remove part of the colon (a ‘colectomy’) in patients over 80 years old. The researchers found that emergency surgeries were associated with a higher risk of complications and death compared to planned surgeries. This could be due to the fact that patients needing emergency surgery were generally in worse health to begin with. In other words, they were more likely to have other serious health conditions and were rated as having a higher risk for surgery.

FAQs

  1. What is the main focus of this study on colectomy procedures?
  2. Why do emergency colectomy surgeries pose a higher risk of complications and death compared to planned surgeries?
  3. How does the general health condition of patients affect the outcomes of emergency colectomy surgeries?

Doctor’s Tip

Therefore, it is important for patients to discuss with their doctor the possibility of a planned colectomy if it is an option. This allows for better preparation, optimization of health conditions, and potentially reduces the risk of complications during and after the surgery. It is important to follow all pre-operative instructions given by your healthcare team to ensure the best outcome possible.

Suitable For

Patients who are typically recommended for a colectomy include those with conditions such as:

  1. Colon cancer
  2. Inflammatory bowel disease (such as ulcerative colitis or Crohn’s disease)
  3. Diverticulitis (inflammation or infection of small pouches in the colon)
  4. Colonic polyps (abnormal growths in the colon)
  5. Colonic obstruction or perforation
  6. Severe constipation or megacolon
  7. Familial adenomatous polyposis (a rare genetic condition causing multiple polyps in the colon)

Patients who have not responded to other treatments such as medications, dietary changes, or minimally invasive procedures may also be recommended for a colectomy. Additionally, patients who are at a high risk for colon cancer or have a history of multiple polyps may be advised to undergo a colectomy as a preventive measure.

Timeline

Before colectomy:

  • Patient may experience symptoms such as abdominal pain, rectal bleeding, changes in bowel habits, and weight loss
  • Patient undergoes diagnostic tests such as colonoscopy, CT scan, and blood tests to determine the need for surgery
  • Surgeon discusses risks and benefits of surgery with patient and family
  • Patient may undergo preoperative tests and preparations, such as bowel preparation and stopping certain medications

After colectomy:

  • Patient undergoes surgery to remove part of the colon
  • Patient is monitored closely in the hospital for complications such as infection, bleeding, and bowel obstruction
  • Patient may stay in the hospital for several days to recover
  • Patient undergoes follow-up appointments with the surgeon to monitor healing and address any concerns
  • Patient may need to make lifestyle changes, such as adjusting diet and managing bowel movements, to adapt to life without part of their colon.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a colectomy surgery?
  2. How will my age and overall health impact the success of the surgery?
  3. What is the difference in outcomes between planned (elective) and emergency colectomy surgeries?
  4. How will the surgical approach (laparoscopic vs. open surgery) affect my recovery and outcomes?
  5. What is the expected recovery time after a colectomy surgery?
  6. What lifestyle changes or dietary modifications will I need to make after the surgery?
  7. Will I need any additional treatments or therapies after the surgery?
  8. How often will I need follow-up appointments to monitor my progress?
  9. What support services or resources are available to help me during my recovery process?
  10. Are there any alternative treatment options to consider before proceeding with a colectomy surgery?

Reference

Authors: El Edelbi M, Abdallah I, Jaafar RF, Tamim H, Deeba S, Doughan S. Journal: Int J Surg Oncol. 2021 Dec 6;2021:9990434. doi: 10.1155/2021/9990434. eCollection 2021. PMID: 34912578