beatUC said...
For instance, did you know that colon surgery has one of the highest suicide rates of any procedure? -this bit of info came from the surgeon who wanted to splice me like a fish.
I've been looking for several hours now and have not found ANYTHING in the literature that backs up this absolutely ridiculous claim. I also don't understand why a surgeon who was so hot to trot with you would also tell you the procedure he wanted to perform was likely to make you suicidal. The only references I've found to suicide related to colectomy were a few scattered cases in FAP and functional disorders studies (e.g. colonic inertia).
Some data from Cleveland Clinic (bold added by me for emphasis):
said...
Of the 1,965 patients who had RPC [restorative proctocolectomy], 38 patients (1.9%) required pouch excision, 39 patients (2.0%) underwent permanent diversion, and a further 3 patients (0.2%) died within the early postoperative period, for a total of 80 patients (4.1%) classified as having pouch failure. There were 11 early failures (13.8%) within 6 months of the operation, and the remaining 69 failures occurred between 7 months and 15 years (median, 3.3 years) after surgery. The number of pouches failing decreased significantly over time, from 12 of 82 pouches (14.6%) failing during the first 3 years of the study (1983–1985) to 11 of 525 pouches (2.1%) failing during the last 3 years (1999–2001), P < 0.001. The overall cumulative 3-year (n = 1241), 5-year (n = 906), and 10-year (n = 372) IPAA survival was 96.5% (95% CI, 95.5–97.4%), 95.7% (95% CI, 94.6–96.8%), and 93.4% (95% CI, 92.2–95.3%), respectively.
From Boston:
said...
Our recently completed meta-analysis of over 8500 patients that have undergone ileoanal surgery over the last 20 years in 20 major centers around the country suggested that the overall worldwide pouch failure rate was relatively high, about 6%. However, if 1 focuses on those reports from the last 5 years, the failure rate has dropped considerably, down closer to 2%.