Our Summary

This research paper investigates the factors that may lead to patients regretting their decision to have a colectomy, which is a surgical procedure to remove part or all of the colon. The researchers used data from the Michigan Surgical Quality Collaborative, which includes 73 hospitals, to analyze the experiences of over 3,600 patients who had this surgery between 2017 and 2020.

The researchers found that about 1 in 10 patients reported regret after the surgery, with those who had to have the procedure urgently or in an emergency situation being more likely to feel regret than those who had it as an elective (or chosen) surgery.

For patients who chose to have the surgery, the factors that were associated with regret included a hospital stay of longer than 7 days, experiencing a complication after the surgery, and needing to be readmitted to the hospital. However, those who had the surgery to treat cancer or similar conditions were less likely to regret their decision.

In the group of patients who had the surgery urgently or as an emergency, women were more likely to feel regret, as were those who were not discharged to their own homes afterwards.

The researchers conclude that more effort needs to be made to help patients understand what to expect from the surgery and its aftermath, in order to reduce the risk of regret. This could involve more detailed discussions before the surgery, tailored to the individual’s situation.

FAQs

  1. What factors may lead patients to regret their decision to have a colectomy?
  2. Are patients who undergo urgent or emergency colectomies more likely to regret their decision?
  3. What recommendations did the researchers make to help reduce the risk of patients regretting their decision to have a colectomy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about colectomy is to ask questions and have open communication about the procedure, recovery process, and potential outcomes. It is important for patients to fully understand what to expect before, during, and after the surgery in order to make an informed decision and reduce the risk of regret. Additionally, following post-operative care instructions, attending follow-up appointments, and seeking support from healthcare professionals and loved ones can help ensure a successful recovery.

Suitable For

Overall, patients who are recommended colectomy typically have conditions such as colorectal cancer, inflammatory bowel disease, diverticulitis, or other serious gastrointestinal issues that cannot be effectively treated with medication or other non-surgical methods. Additionally, patients who have complications such as bowel obstruction, perforation, or severe bleeding may also be recommended for colectomy.

It is important for patients to have a thorough discussion with their healthcare providers to weigh the risks and benefits of the surgery, understand the potential outcomes, and have realistic expectations about the recovery process. Patients who are well-informed and prepared for the surgery are more likely to have a positive experience and be satisfied with their decision in the long run.

Timeline

Before colectomy:

  • Patient is diagnosed with a condition that requires removal of part or all of the colon
  • Patient discusses treatment options with their healthcare provider
  • Decision is made to proceed with colectomy surgery
  • Patient undergoes pre-operative testing and preparation
  • Surgery is scheduled and patient is informed about what to expect during and after the procedure

After colectomy:

  • Patient undergoes surgery to remove part or all of the colon
  • Patient may experience pain, discomfort, and limited mobility in the days following the surgery
  • Patient is monitored for complications such as infection or bleeding
  • Patient may need to stay in the hospital for a period of time to recover
  • Patient may need to adjust to changes in bowel function and dietary restrictions
  • Patient may require additional follow-up appointments with healthcare providers for monitoring and support

Overall, the experience of a patient before and after colectomy can be challenging and may require significant adjustments. It is important for healthcare providers to provide thorough information and support to help patients make informed decisions and navigate the recovery process.

What to Ask Your Doctor

Some questions a patient should ask their doctor about colectomy include:

  1. Why do I need a colectomy and what are the potential benefits?
  2. What are the risks and potential complications associated with the surgery?
  3. What is the recovery process like and how long can I expect to be in the hospital?
  4. Are there any alternative treatment options to consider before proceeding with a colectomy?
  5. Will I need to make any lifestyle changes after the surgery?
  6. How will the surgery affect my bowel function and digestion?
  7. What is the long-term outlook for my condition after having a colectomy?
  8. How often will I need follow-up appointments after the surgery?
  9. What can I do to prepare for the surgery and improve my chances of a successful outcome?
  10. Are there any resources or support groups available for patients who have had a colectomy?

Reference

Authors: Janes LA, Lussiez AD, Anderson M, Bamdad MC, Suwanabol PA. Journal: Dis Colon Rectum. 2022 Dec 1;65(12):1542-1549. doi: 10.1097/DCR.0000000000002375. Epub 2022 Sep 5. PMID: 36102861