Results of restorative proctocolectomy in the elderly

• Published in: International journal of colorectal disease Vol. 12; no. 6; pp. 319 - 322
• Main Authors: TAN, H. T, CONNOLLY, A. B, MORTON, D, KEIGHLEY, M. R. B
• Format: Conference Proceeding Journal Article
• Language: English
• Published: Heidelberg Springer 01-12-1997; Berlin Springer Nature B.V
• Subjects: Adenomatous Polyposis Coli - surgery; Age; Age Factors; Aged; Biological and medical sciences; Colon; Female; Humans; Inflammatory Bowel Diseases - surgery; Male; Medical sciences; Megacolon - surgery; Middle Aged; Postoperative Complications; Proctocolectomy, Restorative - adverse effects; Prospective Studies; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Treatment Outcome; Human; Evaluation; Incidence; Prospective; Symptomatology; Restoration; Surgery; Rectum; Complication; Proctocolectomy; Colon; Effectiveness factor; Elderly
• ISSN: 0179-1958; 1432-1262
• DOI: 10.1007/s003840050115

Twenty eight of 227 patients undergoing restorative proctocolectomy for inflammatory bowel disease, familial adenomatous polyposis or functional disease were over the age of 50 years: ages 50 to 60 (n = 13), 60 to 70 (n = 10), and over 70 (n = 5). Major complications occurred in 5 patients over the age of 50 (18%) compared with 43 patients under the age of 50 (23%). Three patients above the age of 50 had their pouch excised (11%) compared with 23 under the age of 50 (12%). Functional outcome was assessed with a 12 point symptom score. This was similar in all age bands: under 50 years (mean = 2.2; sd +/- 2.2; n = 109), 50 to 60 years (mean = 2.5; sd +/- 2.5; n = 12), 60 to 70 years (mean = 2.8; sd +/- 2.3; n = 7) and over 70 years (mean = 4.0; sd +/- 3.7; n = 5): P > 0.05). When analysed for ulcerative colitis alone, no significant differences were seen between the two age groups. Restorative proctocolectomy in the elderly gives results which are comparable to the younger population.