Are anatomic extent of colitis and disease severity predictors of pouchitis after restorative proctocolectomy for mucosal ulcerative colitis?
Following RPC for MUC, the extent and severity of disease do not predict the subsequent development of pouchitis.
With substantial effort, successful fistula utilization can be achieved in an extremely elderly patient population. Our patients experienced significant catheter utilization and over 3 quarters required secondary interventions to achieve or maintain fistula utilization. Given this group's limited survival and the fact that 21% of their survival time was spent dialyzing with a catheter, the benefit of a functioning fistula to a patient older than 80 years can be questioned.