IBD: A Growing and Vulnerable Cohort of Hospitalized Patients with Clostridium difficile Infection.

The most recent nationwide data show a rising incidence of Clostridium difficile infection in hospitalized patients with ulcerative colitis (UC). We describe recent national trends with regard to incidence, mortality, and the rate of total colectomy. The Nationwide Inpatient Sample database identified patients admitted to hospitals in the United States with diagnoses of C.

Stenting for obstructing colon cancer: fewer complications and colostomies.

Background And Objectives: Colonic stenting has been used in the setting of malignant obstruction to avoid an emergent colectomy. We sought to determine whether preoperative placement of a colonic stent decreases morbidity and the rate of colostomy formation.

Methods: Cases of obstructing sigmoid, rectosigmoid, and rectal cancer from January 1, 2010, to December 31, 2011, were identified in the Nationwide Inpatient Sample (NIS) database.

Skeletal Muscle Metastases in a Patient With Neuroendocrine Tumor.

Carcinoid tumors are rare but diverse group of malignancies that arise from neuroendocrine cells. Skeletal muscle metastasis is exceedingly rare and is associated with a poor prognosis. We report a case of carcinoid tumor of the ileocecal with skeletal muscle metastasis.

A practical mortality risk score for emergent colectomy.

Background: Critically ill patients requiring emergent colectomy have significant mortality risk.

Objective: A national administrative database was used to compose a simple scoring scheme for predicting in-hospital mortality risk.

Design: The 2007 to 2009 Nationwide Inpatient Sample was queried to identify patients requiring nonelective colectomy.

Transfer status is a risk factor for increased in-hospital mortality in patients with diverticular hemorrhage.

Purpose: Gastrointestinal tract hemorrhage is a common problem accounting for approximately 1 % of hospital admissions. It is estimated that one third of the episodes of lower gastrointestinal hemorrhage are secondary to diverticular disease. Inter-institutional transfer has been associated with delay in care and increased in-hospital mortality.