Journal of Gastrointestinal Surgery

, Volume 13, Issue 3, pp 504–507

Does CT Influence the Decision to Perform Colectomy in Patients with Severe Ulcerative Colitis?

  • Andre da Luz Moreira
  • Jon D. Vogel
  • Mark Baker
  • Isabella Mor
  • Ren Zhang
  • Victor Fazio
original article

DOI: 10.1007/s11605-008-0732-3

Cite this article as:
da Luz Moreira, A., Vogel, J.D., Baker, M. et al. J Gastrointest Surg (2009) 13: 504. doi:10.1007/s11605-008-0732-3

Abstract

Purpose

The purpose of this study was to evaluate the impact of abdominal computerized tomography (CT) on the decision to perform colectomy in patients with severe acute ulcerative colitis (SAC).

Methods

Patients with SAC admitted to a single hospital between 2002 and 2007 were reviewed. The criteria for SAC were ≥6 bloody bowel movements per day plus fever >37.8°C, pulse >90, or hemoglobin <10.5 g/dL. Study patients were given a SAC score of 2–4 based on these criteria. Clinical and laboratory parameters, medication use, abdominal X-ray, and endoscopic findings in SAC patients who did or did not have an abdominal CT were compared. Chi-squared, Fisher exact test, and Wilcoxon rank sum test were used as appropriate.

Results

Ninety-two consecutive patients with SAC were evaluated. CT was performed in 26 (28%). The SAC score, laboratory values, abdominal X-ray, and endoscopic findings were similar in patients who did or did not have a CT. Colectomy was performed in 32 (48%) and 10 (38%) patients who did or did not have a CT, respectively (p = 0.4). The CT findings were similar in patients who required colectomy and those who did not require colectomy. In two (8%) of the patients who underwent CT, the CT findings clearly influenced the decision to perform or defer colectomy.

Conclusion

CT has a minor impact on the decision to perform colectomy in patients with severe acute ulcerative colitis.

Keywords

Ulcerative colitis CT Colectomy 

Copyright information

© The Society for Surgery of the Alimentary Tract 2008

Authors and Affiliations

  • Andre da Luz Moreira
    • 1
  • Jon D. Vogel
    • 1
  • Mark Baker
    • 1
  • Isabella Mor
    • 1
  • Ren Zhang
    • 1
  • Victor Fazio
    • 1
  1. 1.Departments of Colon and Rectal Surgery and Abdominal ImagingCleveland ClinicClevelandUSA