Long Time from Diagnosis to Surgery May Increase Postoperative Complication Rates in Elective CD Intestinal Resections: An Observational Study
Joint Authors
Coy, Cláudio Saddy Rodrigues
Martinez, Carlos Augusto Real
Yamamoto, Takayuki
Kotze, Paulo Gustavo
Magro, Daniela Oliveira
Spinelli, Antonino
Warusavitarne, Janindra
Source
Gastroenterology Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
There is lack of data analyzing short-term postoperative complications and time from diagnosis to surgery in Crohn’s disease (CD).
Aim.
To compare complication rates after elective abdominal operations in CD patients with different durations of disease.
Methods.
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.
Results.
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).
Conclusions.
Patients with longer time to surgery showed a significant increase in overall medical and surgical postoperative early complications after elective intestinal resections.
American Psychological Association (APA)
Kotze, Paulo Gustavo& Magro, Daniela Oliveira& Martinez, Carlos Augusto Real& Spinelli, Antonino& Yamamoto, Takayuki& Warusavitarne, Janindra…[et al.]. 2018. Long Time from Diagnosis to Surgery May Increase Postoperative Complication Rates in Elective CD Intestinal Resections: An Observational Study. Gastroenterology Research and Practice،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1159733
Modern Language Association (MLA)
Kotze, Paulo Gustavo…[et al.]. Long Time from Diagnosis to Surgery May Increase Postoperative Complication Rates in Elective CD Intestinal Resections: An Observational Study. Gastroenterology Research and Practice No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1159733
American Medical Association (AMA)
Kotze, Paulo Gustavo& Magro, Daniela Oliveira& Martinez, Carlos Augusto Real& Spinelli, Antonino& Yamamoto, Takayuki& Warusavitarne, Janindra…[et al.]. Long Time from Diagnosis to Surgery May Increase Postoperative Complication Rates in Elective CD Intestinal Resections: An Observational Study. Gastroenterology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1159733
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159733