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Research Letter
November 13, 2019

Factors Associated With Mortality After Emergency Colectomy for Acute Lower Gastrointestinal Bleeding

Author Affiliations
  • 1Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
JAMA Surg. Published online November 13, 2019. doi:https://doi.org/10.1001/jamasurg.2019.4467

Patients admitted to the hospital for an acute lower gastrointestinal bleed (LGIB) require emergency colectomy in 10% to 25% of cases.1 Existing reports of mortality after emergency surgery for LGIB come from small, single-center series and vary between 2% to 60%.2 Furthermore, few studies describe outcomes in the context of modern critical care, endoscopy, and interventional radiology.2 Prognostic uncertainty is a barrier to providing goal-concordant care in the emergency setting.3 We therefore aimed to describe the risk of mortality after emergency colectomy for acute LGIB.

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