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Elective surgery for ulcerative colitis is associated with lower mortality than drug treatment in older patients

BMJ 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h3806 (Published 14 July 2015) Cite this as: BMJ 2015;351:h3806
  1. Susan Mayor
  1. 1London

Elective surgery for ulcerative colitis is associated with lower mortality than medical therapy in patients aged 50 and older, shows a US study1 that questions the current practice of considering surgical treatment only after drugs have failed.

The retrospective study, published in the Annals of Internal Medicine, analysed Medicaid and Medicare data to compare the survival of patients who had advanced ulcerative colitis and who opted for elective colectomy, where the colon is …

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