Long Time from Diagnosis to Surgery May Increase Postoperative Complication Rates in Elective CD Intestinal Resections: An Observational Study

Gastroenterology Research and Practice
Paulo Gustavo KotzeClaudio Saddy Rodrigues Coy

Abstract

There is lack of data analyzing short-term postoperative complications and time from diagnosis to surgery in Crohn's disease (CD). To compare complication rates after elective abdominal operations in CD patients with different durations of disease. Retrospective observational study with CD patients who submitted to elective intestinal resections. Patients were allocated in 2 groups according to time to surgery (TS) in less or more than 5 years. Short-term postoperative complications were analyzed and compared between the 2 groups, and binary logistic regression analysis was performed to check for significant variables. 123 patients were finally included, 77 with TS > 5 years (62.6%) and 46 with TS < 5 years (37.4%). Patients with TS > 5 years had higher rates of overall surgical complications (p = 0.011), reoperations (p = 0.003), surgical site infections (p = 0.014), anastomotic dehiscence (p = 0.021), abdominal abscesses (p = 0.021), and overall medical complications (p = 0.019). On logistic regression, the single significant variable was the confection of stomas (OR: 3.203; 95% CI: 1.011-10.151; p = 0.048). Patients with longer time to surgery showed a significant increase in overall medical and surgical postoperative early ...Continue Reading

References

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Citations

Jun 18, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C MaP G Kotze
Jul 31, 2020·Therapeutic Advances in Gastroenterology·Abel Botelho QuaresmaPaulo Gustavo Kotze
Nov 19, 2020·Arquivos De Gastroenterologia·Paulo Gustavo Kotze, Adérson Omar Mourão Cintra DamiÃo
Jan 15, 2020·Visceral Medicine·Henrik Einwächter

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BETA
confection

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SPSS

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