What is included in the preprocedure evaluation for colon resection (colectomy)?

Updated: Apr 05, 2021
  • Author: David E Stein, MD, MHCM; Chief Editor: Vikram Kate, FRCS, MS, MBBS, PhD, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Answer

Nutritional status is important, in that the morbidity increases in patients who are malnourished. If a preoperative albumin level is lower than 3 g/dL, supplemental nutrition is prescribed, and if feasible, the surgery is delayed. Anemia is also important to note preoperatively. The authors routinely prescribe supplemental ferrous sulfate for anemic patients.

Patients with a history of pelvic phlegmon, those undergoing repeat rectal surgery (eg, for recurrent cancer or Crohn disease), and those with a history of distant radiation therapy receive ureteral stents. Whether routine ureteral stenting is warranted is a matter of debate. [24] The authors do not believe in routine stenting and encourage surgeons to use their judgment to determine whether stents are needed for specific individual cases.


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