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Updated: Apr 19, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
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Characterizing readmission in ulcerative colitis patients undergoing restorative proctocolectomy.

Thomas P Hanzlik1, Sarah E Tevis, Pasithorn A Suwanabol

  • 1Section of Colorectal Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, K4/736 CSC, Madison, WI, 53792-3236, USA.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|January 7, 2015
PubMed
Summary

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Patients undergoing restorative proctocolectomy (RP) for ulcerative colitis face high readmission rates, often due to dehydration and ileus. Younger age, laparoscopic surgery, and longer initial hospital stays increase the risk of 30-day readmission after RP.

Area of Science:

  • Gastroenterology
  • Surgical Outcomes
  • Inflammatory Bowel Disease Research

Background:

  • Postoperative readmissions significantly increase healthcare costs and negatively impact patient quality of life.
  • Patients with ulcerative colitis (UC) exhibit a heightened risk of hospital readmission after undergoing restorative proctocolectomy (RP).

Purpose of the Study:

  • To characterize patients with UC who undergo RP.
  • To identify the primary causes and risk factors associated with hospital readmission following RP in UC patients.

Main Methods:

  • A retrospective analysis was conducted using a prospectively maintained institutional database.
  • Examined postoperative readmission rates and reasons for readmission post-RP.
  • Performed univariate and multivariate analyses to identify risk factors for readmission.

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Main Results:

  • 18.2% of 533 UC patients were readmitted within 30 days, and 22.7% within 90 days of the first stage of RP.
  • Factors associated with 30-day readmission included younger patient age, laparoscopic surgical approach, and longer initial hospital stay.
  • The most frequent cause for readmission was dehydration, ileus, or partial bowel obstruction (10% within 30 days).

Conclusions:

  • Restorative proctocolectomy patients, especially after the initial stage, are at substantial risk for readmission.
  • Developing novel outpatient treatment strategies to prevent ileus and dehydration could potentially reduce RP readmission rates.