Surgical recurrence in Crohn's disease: a comparison between different types of bowel resections

International Journal of Colorectal Disease
Gisele AaltonenAnna Lepistö

Abstract

To compare recurrence frequency and location between different types of bowel resections in Crohn's disease patients. This was a retrospective study of consecutive patients undergoing bowel resection for Crohn's disease between 2006 and 2016. Type of primary operation was recorded and grouped as ileocolic resection, small bowel resection, segmental colon resection with colocolic anastomosis or colorectal anastomosis, colectomy with ileorectal anastomosis, or end stoma operation. Binary logistic regression was used to compare surgical recurrence frequency between groups. We also investigated how Crohn's disease location at reoperations was related to the primary bowel resection type. Altogether, 218 patients with a median follow-up of 4.7 years were included in our study. Reoperation was performed in 42 (19.3%) patients. The risk of reoperation using the ileocolic resection group as reference was the following: small bowel resection (odds ratio (OR) 2.95, 95% confidence interval (CI) 1.01-8.66; P = 0.049), segmental colon resection with colocolic or colorectal anastomosis (OR 6.20, 95% CI 2.04-18.87; P = 0.001), colectomy with ileorectal anastomosis (OR 26.57, 95% CI 2.59-273.01; P = 0.006), and end stoma operation (OR 4.62, 95%...Continue Reading

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Citations

May 18, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A AlshanttiS R Brown
Oct 8, 2020·Langenbeck's Archives of Surgery·K HorisbergerM Turina
Dec 17, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Hideyuki SuzukiMichiaki Unno
Apr 17, 2021·Journal of Visceral Surgery·C ValibouzeP Zerbib

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