Analysis of risk factors and postoperative complications in patients with crohn’s disease
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/s0004-2803.201800000-63 http://hdl.handle.net/11449/188492 |
Resumo: | Background – The post-operative complications rate is greater in patients with Crohn’s disease than in other abdominal surgeries due to other benign conditions. Prevention and management of such complications are important factors in the care of these patients. Objective – The objectives of this research are to analyze the rate of postoperative complications and the major risk factors in patients with Crohn’s disease. Methods – A descriptive and retrospective study based on analysis of medical records of patients with Crohn’s disease undergoing ileal and/or colonic resection, which analyzed the main surgical complications and their major risk factors. Results – Forty-four surgical procedures and thirty-seven patients were analyzed. Most were female (56.7%). Postoperative complications were observed in 18 (40.9%) surgeries. The disease duration (P=0.04), the penetrating behavior (P=0.013), the time between diagnosis and the first surgery (P=0.04), malnutrition with low body mass index (BMI), duration of surgery (P=0.016), and the size of the removed specimen (P=0.014) were associated with higher rates of complications. The use of drugs blocking tumor necrosis factor up to eight weeks before surgery was not significantly associated with higher complications rates or increased need for reoperation. Conclusion – The complication rate observed in this study is similar to published data. The duration of the disease, the penetrating behavior, the size of the removed specimen, the duration of the surgery, and BMI are important risk factors for perioperative complications in Crohn’s disease. |
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Analysis of risk factors and postoperative complications in patients with crohn’s diseaseAnálise dos fatores de risco e complicações pós-operatórias em pacientes portadores de doença de crohnDigestive system surgical proceduresInflammatory bowel diseasePostoperative complicationsRisk factorsSecondary preventionBackground – The post-operative complications rate is greater in patients with Crohn’s disease than in other abdominal surgeries due to other benign conditions. Prevention and management of such complications are important factors in the care of these patients. Objective – The objectives of this research are to analyze the rate of postoperative complications and the major risk factors in patients with Crohn’s disease. Methods – A descriptive and retrospective study based on analysis of medical records of patients with Crohn’s disease undergoing ileal and/or colonic resection, which analyzed the main surgical complications and their major risk factors. Results – Forty-four surgical procedures and thirty-seven patients were analyzed. Most were female (56.7%). Postoperative complications were observed in 18 (40.9%) surgeries. The disease duration (P=0.04), the penetrating behavior (P=0.013), the time between diagnosis and the first surgery (P=0.04), malnutrition with low body mass index (BMI), duration of surgery (P=0.016), and the size of the removed specimen (P=0.014) were associated with higher rates of complications. The use of drugs blocking tumor necrosis factor up to eight weeks before surgery was not significantly associated with higher complications rates or increased need for reoperation. Conclusion – The complication rate observed in this study is similar to published data. The duration of the disease, the penetrating behavior, the size of the removed specimen, the duration of the surgery, and BMI are important risk factors for perioperative complications in Crohn’s disease.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Universidade Estadual Paulista (UNESP) Faculdade de Medicina Departamento de Cirurgia e OrtopediaUniversidade Estadual Paulista (UNESP) Faculdade de Medicina Departamento de Clínica MédicaUniversidade Estadual Paulista (UNESP) Faculdade de Medicina Departamento de Cirurgia e OrtopediaUniversidade Estadual Paulista (UNESP) Faculdade de Medicina Departamento de Clínica MédicaUniversidade Estadual Paulista (Unesp)Saad Hossne, Rogério [UNESP]Sassaki, Ligia Yukie [UNESP]Baima, Julio Pinheiro [UNESP]de Meira JÚnior, José Donizeti [UNESP]Campos, Luana Moraes [UNESP]2019-10-06T16:09:57Z2019-10-06T16:09:57Z2018-07-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article252-257application/pdfhttp://dx.doi.org/10.1590/s0004-2803.201800000-63Arquivos de Gastroenterologia, v. 55, n. 3, p. 252-257, 2018.1678-42190004-2803http://hdl.handle.net/11449/18849210.1590/s0004-2803.201800000-63S0004-280320180023002522-s2.0-85058416382S0004-28032018002300252.pdf4734747821898178Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengArquivos de Gastroenterologiainfo:eu-repo/semantics/openAccess2024-08-14T17:37:05Zoai:repositorio.unesp.br:11449/188492Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:37:05Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Analysis of risk factors and postoperative complications in patients with crohn’s disease Análise dos fatores de risco e complicações pós-operatórias em pacientes portadores de doença de crohn |
title |
Analysis of risk factors and postoperative complications in patients with crohn’s disease |
spellingShingle |
Analysis of risk factors and postoperative complications in patients with crohn’s disease Saad Hossne, Rogério [UNESP] Digestive system surgical procedures Inflammatory bowel disease Postoperative complications Risk factors Secondary prevention |
title_short |
Analysis of risk factors and postoperative complications in patients with crohn’s disease |
title_full |
Analysis of risk factors and postoperative complications in patients with crohn’s disease |
title_fullStr |
Analysis of risk factors and postoperative complications in patients with crohn’s disease |
title_full_unstemmed |
Analysis of risk factors and postoperative complications in patients with crohn’s disease |
title_sort |
Analysis of risk factors and postoperative complications in patients with crohn’s disease |
author |
Saad Hossne, Rogério [UNESP] |
author_facet |
Saad Hossne, Rogério [UNESP] Sassaki, Ligia Yukie [UNESP] Baima, Julio Pinheiro [UNESP] de Meira JÚnior, José Donizeti [UNESP] Campos, Luana Moraes [UNESP] |
author_role |
author |
author2 |
Sassaki, Ligia Yukie [UNESP] Baima, Julio Pinheiro [UNESP] de Meira JÚnior, José Donizeti [UNESP] Campos, Luana Moraes [UNESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Saad Hossne, Rogério [UNESP] Sassaki, Ligia Yukie [UNESP] Baima, Julio Pinheiro [UNESP] de Meira JÚnior, José Donizeti [UNESP] Campos, Luana Moraes [UNESP] |
dc.subject.por.fl_str_mv |
Digestive system surgical procedures Inflammatory bowel disease Postoperative complications Risk factors Secondary prevention |
topic |
Digestive system surgical procedures Inflammatory bowel disease Postoperative complications Risk factors Secondary prevention |
description |
Background – The post-operative complications rate is greater in patients with Crohn’s disease than in other abdominal surgeries due to other benign conditions. Prevention and management of such complications are important factors in the care of these patients. Objective – The objectives of this research are to analyze the rate of postoperative complications and the major risk factors in patients with Crohn’s disease. Methods – A descriptive and retrospective study based on analysis of medical records of patients with Crohn’s disease undergoing ileal and/or colonic resection, which analyzed the main surgical complications and their major risk factors. Results – Forty-four surgical procedures and thirty-seven patients were analyzed. Most were female (56.7%). Postoperative complications were observed in 18 (40.9%) surgeries. The disease duration (P=0.04), the penetrating behavior (P=0.013), the time between diagnosis and the first surgery (P=0.04), malnutrition with low body mass index (BMI), duration of surgery (P=0.016), and the size of the removed specimen (P=0.014) were associated with higher rates of complications. The use of drugs blocking tumor necrosis factor up to eight weeks before surgery was not significantly associated with higher complications rates or increased need for reoperation. Conclusion – The complication rate observed in this study is similar to published data. The duration of the disease, the penetrating behavior, the size of the removed specimen, the duration of the surgery, and BMI are important risk factors for perioperative complications in Crohn’s disease. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-07-01 2019-10-06T16:09:57Z 2019-10-06T16:09:57Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/s0004-2803.201800000-63 Arquivos de Gastroenterologia, v. 55, n. 3, p. 252-257, 2018. 1678-4219 0004-2803 http://hdl.handle.net/11449/188492 10.1590/s0004-2803.201800000-63 S0004-28032018002300252 2-s2.0-85058416382 S0004-28032018002300252.pdf 4734747821898178 |
url |
http://dx.doi.org/10.1590/s0004-2803.201800000-63 http://hdl.handle.net/11449/188492 |
identifier_str_mv |
Arquivos de Gastroenterologia, v. 55, n. 3, p. 252-257, 2018. 1678-4219 0004-2803 10.1590/s0004-2803.201800000-63 S0004-28032018002300252 2-s2.0-85058416382 S0004-28032018002300252.pdf 4734747821898178 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Arquivos de Gastroenterologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
252-257 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128215182475264 |