Surgical Management of Lower Gastrointestinal Hemorrhage: An Analysis of the ACS NSQIP Database

Laura T. Greco, Sarah Koller, Matthew Philp, Howard Ross

Abstract


Background: Despite advances in diagnostics for lower gastrointestinal bleeding, colorectal resection remains the only option when non-surgical management fails. This study examines a cohort of patients who underwent surgery for this indication to determine the effect of procedure type on postoperative outcomes.

Methods: We identified all patients who underwent colorectal resection for bleeding in the ACS NSQIP Participant Use Data File and the Procedure Targeted PUF for colectomy from 2012 to 2013. We compared patients who underwent partial versus total colectomy using univariate analyses and multivariable logistic regression.

Results: Of 38,486 colorectal resections performed for bleeding, 85.3% underwent a partial colectomy and 14.7% underwent total colectomy. Patients who had total colectomy were more likely to receive more than four units of blood prior to surgery and have operative times longer than 180 min. Patients who had partial colectomy were more likely to have laparoscopic procedures and to have a stoma created during surgery. On univariate analysis, total colectomy was associated with increased risk of postoperative ileus, cardiac and renal complications, and mortality. On multivariate analysis, total colectomy was associated with increased risk of cardiac and renal complications.

Conclusion: The most common procedure performed for lower gastrointestinal hemorrhage was partial colectomy.




J Curr Surg. 2017;7(1-2):4-6
doi: https://doi.org/10.14740/jcs307w

 


Keywords


Lower gastrointestinal hemorrhage; Total colectomy; Partial colectomy

Full Text: HTML PDF
 

Browse  Journals  

     

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

Journal of Current Surgery, quarterly, ISSN 1927-1298 (print), 1927-1301 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.currentsurgery.org   editorial contact: editor@currentsurgery.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.