PREDICTORS OF COLECTOMY IN PATIENTS WITH «EXTREMELY SEVERE» ULCERATIVE COLITIS
Koloproktologia, ISSN: 2686-7303, Vol: 19, Issue: 3, Page: 37-48
2020
- 7Citations
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Citations7
- Citation Indexes7
Article Description
AIM: to identify predictors of colectomy in patients with «extremely severe» ulcerative colitis. PATIENTS AND METHODS: Seventy-four patients with severe ulcerative colitis in 2017 were included in the study. The patients were divided into the groups of colectomy (54 pts) and conservative treatment (20 pts). The predictors such as serum albumin, C-reactive protein, hemoglobin, endoscopic picture, and clinical data were analyzed. RESULTS: The groups were homogeneous by gender, age and duration of the disease. Mean albumin and hemoglobin levels were significantly lower (28 g/l and 96 g/l) in the colectomy group. The endoscopic picture of «extensive ulcer defects merging among themselves» was significantly more common in the operated patients - 78%, compared with 5% in the conservative treatment group (p<0.0001). The risk of colectomy in the presence of an endoscopic picture was 85%, and when combined with an albumin level of less than 31 g/l and hemoglobin of less than 107 g/l, the risk increased to 100%. CONCLUSION: The endoscopic picture of «extensive, merging ulcerative defects» in combination with an albumin level of less than 31 g/l and hemoglobin less than 107 g/l are predictors of colectomy with high predictive value.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85118502850&origin=inward; http://dx.doi.org/10.33878/2073-7556-2020-19-3-37-48; https://www.ruproctology.com/jour/article/view/1565; https://www.ruproctology.com/jour/article/viewFile/1565/1591; https://www.ruproctology.com/jour/article/viewFile/1565/1592; https://dx.doi.org/10.33878/2073-7556-2020-19-3-37-48
Russian Association of Coloproctology
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