Ulcerative colitis treatment.
Treating ulcerative colitis with surgical methods has become much worse than in the prebiologics era. Patients undergoing surgery for it are now 38% more likely to die in the hospital than they were 15 years ago before biologics were adopted as medical therapy for the disease. Patients who underwent bowel resection between 2006 and 2013 compared to 1995-2005 were “51% more likely to experience a major postoperative event, like shock, pulmonary embolism, stroke, or heart attack. The chance of a surgical complication was increased by 39%, and these patients were 25% more likely to need a transfusion during surgery than those from epoch and were 36% more likely to have a readmission.
Biologics are controlling inflammatory bowel disease well in patients with mild-moderate disease, and leaving the sickest patients in the surgical pool.
In NYS, you can get ozone therapy for UC. All ozone therapies are MD ordered and RN administered. Specialized medicines from Germany for UC are put into your treatment plan to speed your healing. You can also look at our IV Nutrients and Ozone Menu of services to see what we have for you. Book your consult today.
1. True or False. Outcomes for patients who undergo surgery to treat ulcerative colitis have greatly improved since the introduction of biologic medical therapies.
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True |
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False |
2. Today, patients who undergo surgery to treat ulcerative colitis have _____ greater likelihood of mortality while hospitalized, compared to before the introduction of biologic medical therapies for the condition.
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38% |
|
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63% |
|
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92% |
3. According to database review findings, patients who underwent bowel resection for ulcerative colitis in the “postbiologics” period of 2006 to 2013, compared to patients who underwent the surgery in the “prebiologics” period of 1995 to 2005, had greater likelihood of __________.
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Major postoperative event |
|
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Requiring transfusion during surgery |
|
|
Surgical complication |
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A and C |
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All of the above |
4. True or False. Biologic medical therapies for ulcerative colitis have been discovered as directly contributing to poor outcomes of surgical treatment.
5. According to database review findings, patients who underwent bowel resection for ulcerative colitis in the period of 2006 to 2013, compared to patients who received the surgery in the period of 1995 to 2005, were _____ more likely to be readmitted one year after surgery.
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5% |
|
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36% |
|
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75% |
Answer Key:
1. B. False
2. A. 38%
3. D. All of the above
4. B. False
5. B. 36%
For complete information, see:
“In era of infliximab, ulcerative colitis surgical outcomes worsen.”
