Perioperative management and early complications after intestinal resection with ileocolonic anastomosis in Crohn’s disease: analysis from the PRACTICROHN study
| Autor: | Valle García Sánchez, Montserrat Rivero, Luis Cea-Calvo, María Dolores Martín-Arranz, Eugeni Domènech, Cristina Romero, Ana Gutiérrez, Manuel J. Castro, Jesus Barrio, Ruth de Francisco, Manuel Barreiro-de Acosta, Berta Juliá, Natalia Borruel Sainz |
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| Přispěvatelé: | UAM. Departamento de Medicina |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Crohn’s disease
medicine.medical_specialty Ileocolonic resection Ileus post-operative complications Medicina medicine.medical_treatment Anastomosis 03 medical and health sciences 0302 clinical medicine medicine risk factors Abscess Crohn's disease business.industry Gastroenterology Abdominal Abscess Bowel resection medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Cohort Abdomen 030211 gastroenterology & hepatology Original Article business |
| Zdroj: | Biblos-e Archivo. Repositorio Institucional de la UAM instname Gastroenterology Report r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol |
| ISSN: | 2052-0034 |
| Popis: | This study is aimed at describing the prevalence of and risk factors associated with early post-operative complications after Crohn’s disease-related intestinal resection. Methods: This was a retrospective analysis of data from the PRACTICROHN cohort. Adult Crohn’s disease patients who underwent ileocolonic resection with ileocolonic anastomosis between January 2007 and December 2010 were included. The complications evaluated included death, ileus, anastomotic leak, abscess, wound infection, catheter-related infection, digestive bleeding and other extra-abdominal infections that occurred in the 30 days after surgery.Results: A total of 364 patients (median age at surgery 38 years and 50% men) were included. Indication for surgery was: stricturing disease (46.4%), penetrating disease (31.3%), penetrating and stricturing disease (14.0%) or resistance to medical treatment (5.8%). Early complications were recorded in 100 (27.5%) patients, with wound infection, intra-abdominal abscess and anastomotic leakage being the most frequent complications. Median hospitalization duration was 16 days for patients with complications vs. 9 days without complications (P This study was supported by Merck Sharp and Dohme, Spain |
| Databáze: | OpenAIRE |
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