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Arch Iran Med. 2021;24(9): 665-669.
doi: 10.34172/aim.2021.95
  Abstract View: 925
  PDF Download: 509

Original Article

Colectomy in Ulcerative Colitis: Trends in Southern Iran in a Decade

Sulmaz Ghahramani 1 ORCID logo, Mahsa Paparisabet 2, Mohammad Sayari 1, Seyed Vahid Hosseini 3, Kamran Bagheri Lankarani 1* ORCID logo

1 Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
2 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
3 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
*Corresponding Author: *Corresponding Author: Kamran Bagheri Lankarani, MD; Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Tel: +98-71-32309615; Fax: +98-71-32309615; Email: , Email: kblankarani@yahoo.com

Abstract

Background: Colectomy is considered as a part of therapeutic armamentarium in ulcerative colitis. The availability of new biologic treatments might have affected the trend of using this modality.

Methods: The hospital records of all tertiary centers in Shiraz, which are the main centers for the treatment of ulcerative colitis (UC) in southern Iran, were reviewed to estimate the total number of admissions for the treatment of severe UC and colectomy among patients from 2009 to 2019. In this historical cohort study, information about the current status of the patients was collected by phone calls during December 2019.

Results: Totally, 111 (4%) UC patients, out of 2933 admissions, underwent colectomy. Sixty-five (54.6%) UC colectomy patients were female. The results revealed an upward trend for the ratio of the frequency of colectomies to total UC admissions (Z = 3.39, P < 0.001). Colectomy complications occurred in 44 patients (40%), and most of the patients 38 (34%) had late complications, leading to readmission. Seven patients (6.3%) had died from colectomy during the follow-up calls. Most of the dead patients underwent urgent surgery and were young.

Conclusion: Despite the use of biologics during the past decade in southern Iran, there was a rising trend among the UC patients’ colectomies. The frequencies of post-operative complications and mortality was considerable, highlighting the need for refinement of UC care in this region.



Cite this article as: Ghahramani S, Paparisabet M, Sayari M, Hosseini SV, Bagheri Lankarani K. Colectomy in ulcerative colitis: trends in southern iran in a decade. Arch Iran Med. 2021;24(9):665-669. doi: 10.34172/aim.2021.95
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Submitted: 25 Jun 2020
Revision: 12 Aug 2020
Accepted: 16 Nov 2020
ePublished: 01 Sep 2021
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