Risk of postoperative morbidity in patients having bowel resection for colonic Crohn’s disease
| Autor: | B. Scheef, Alaa El-Hussuna, F. Di Candido, Nir Horesh, HJ Schlitt, Igors Iesalnieks, Antonino Spinelli, Matteo Frasson, M. Iborra |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Crohn’s disease Colectomies medicine.medical_specialty Adolescent Colon medicine.medical_treatment Anastomosis Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Crohn Disease Risk Factors medicine Humans Colonic disease postoperative morbidity Colectomy Retrospective Studies Proctocolectomy business.industry Incidence Anastomosis Surgical Gastroenterology Postoperative complication Anemia Bowel resection Colorectal surgery Surgery Crohn's disease 030220 oncology & carcinogenesis Multivariate Analysis Preoperative Period Female 030211 gastroenterology & hepatology business Abdominal surgery |
| Zdroj: | Iesalnieks, I, Spinelli, A, Frasson, M, Di Candido, F, Scheef, B, Horesh, N, Iborra, M, Schlitt, H J & El-Hussuna, A 2018, ' Risk of postoperative morbidity in patients having bowel resection for colonic Crohn's disease ', Techniques in Coloproctology, vol. 22, no. 12, pp. 947-953 . https://doi.org/10.1007/s10151-018-1904-0 TECHNIQUES IN COLOPROCTOLOGY r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname |
| ISSN: | 1128-045X 1123-6337 |
| DOI: | 10.1007/s10151-018-1904-0 |
| Popis: | BACKGROUND: The aim of the present multicenter study was to analyze the incidence and risk factors associated with postoperative morbidity in patients who had colorectal resection for colonic Crohn's disease.METHODS: Consecutive patients undergoing colorectal resection for colonic Crohn's disease at seven surgical units in 1992-2017 were included. Exclusion criteria were: proctectomy for perianal disease, surgery for cancer, previous colectomies, surgery before 1998. Abdominal colectomy and proctocolectomy were defined as extended resections; all other operations were classified as segmental resections. Postoperative intraabdominal septic complications (IASC) were: anastomotic leaks, peritonitis and abscess.RESULTS: One hundred ninety-nine patients met the inclusion criteria: 116 patients had segmental resections and extended resections were performed in 83 patients. An anastomosis was constructed in 122 patients and an additional stoma was formed in 15 of those cases. Segmental resections were performed significantly more frequently in stricturing or penetrating disease (93% vs. 61%, p CONCLUSIONS: Severe preoperative anemia is associated with an increased postoperative morbidity. Resections completed by an anastomosis pose an increased postoperative complication risk in patients with colonic Crohn's disease as compared to resections without an anastomosis. |
| Databáze: | OpenAIRE |
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