Previous Intestinal Resection Is Associated with Postoperative Complications in Crohn’s Disease: A Cohort Study
المؤلفون المشاركون
Liu, Yifan
Duan, Yantao
Li, Yousheng
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-09-15
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
To assess the influence of a previous intestinal resection on postoperative complications for Crohn’s disease (CD).
Methods.
Data on patients with CD undergoing surgery in our department from January 2016 through December 2019 were retrospectively reviewed.
Information collected included demographic details, surgical data, and postoperative outcome.
A cross-sectional study design was employed.
Associations between postoperative complications and preoperative clinical indicators were further analyzed.
Results.
Of the 129 patients with CD studied, 62 patients (48.06%) underwent previous resection.
These patients were more likely to be older (P=0.031), have longer disease duration (P=0.025), use less 5-aminosalicylic acid/sulfasalazine preoperatively (P=0.013), have lower body mass index (P=0.003), and have a higher American Society of Anesthesiologists (ASA) Physical Status Classification System score (P=0.043).
Patients who had previous surgery had a longer duration of operation (P=0.003), greater estimated blood loss (P=0.001), and longer hospital stay (P<0.001) and were more inclined to develop postoperative complications (P=0.047), particularly anastomotic leak (P=0.021) and severe (Clavien–Dindo grade III/IV) complications (P=0.038).
After multivariate analysis, previous intestinal resection (P=0.019), preoperative use of steroids (P=0.026), and ASA score of more than II (P<0.001) were determined to be the independent prognostic risk factors for postoperative complications.
During the 30-day follow-up period, there was no postoperative mortality or readmission.
Conclusions.
Previous intestinal resection in patients with CD is an independent predictor of overall postoperative complications.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Duan, Yantao& Liu, Yifan& Li, Yousheng. 2020. Previous Intestinal Resection Is Associated with Postoperative Complications in Crohn’s Disease: A Cohort Study. Gastroenterology Research and Practice،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1166696
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Duan, Yantao…[et al.]. Previous Intestinal Resection Is Associated with Postoperative Complications in Crohn’s Disease: A Cohort Study. Gastroenterology Research and Practice No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1166696
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Duan, Yantao& Liu, Yifan& Li, Yousheng. Previous Intestinal Resection Is Associated with Postoperative Complications in Crohn’s Disease: A Cohort Study. Gastroenterology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1166696
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1166696
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر