A positive proximal resection margin is associated with anastomotic complications following primary ileocaecal resection for Crohn's disease

International Journal of Colorectal Disease
Eleonora GarofaloValerio Celentano

Abstract

Bowel resection in patients with Crohn's disease (CD) has a high reported rate of postoperative complications and surgical recurrence. A macroscopically normal resection margin is recommended in CD surgery as wider margins do not translate in reduced recurrence rates. The aim of this study was to evaluate the association between resection margin status and anastomotic complications following ileocaecal resection for primary CD. All patients treated with ileocaecal resection for primary CD from 2010 to 2018 were included in this retrospective observational study. Emergency operations and recurrent CD were excluded. Patients in whom an anastomosis was not fashioned at the time of the surgery were also excluded. Histopathology data collected included macroscopic description, presence of macroscopic and microscopic involvement of the proximal and distal resection margins. The primary outcome was the rate of positive resection margin in patients who developed anastomotic complications (anastomotic leaks and intra-abdominal collections), and the secondary outcomes were overall complications rate, length of hospital stay, reoperations and rehospitalisation within 30 days. A total of 104 patients were included. The proximal resection m...Continue Reading

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Citations

Mar 10, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Anna CaiazzoValerio Celentano
Jan 8, 2021·Updates in Surgery·Valerio CelentanoUNKNOWN , on behalf of the Italian Society of Colorectal Surgery SICCR
Apr 17, 2021·Journal of Visceral Surgery·C ValibouzeP Zerbib

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