Risk factors for major complications after surgical treatment of primary ileocecal Crohn's disease. A multicenter Latin American experience

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Autor(es): dc.contributorHospital Universitario CEMIC-
Autor(es): dc.contributorAarhus University Hospital-
Autor(es): dc.contributorUniversidade Estadual de Campinas (UNICAMP)-
Autor(es): dc.contributorPontificia Universidad Católica de Rio Grande do Sul-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorNueva Proctología-
Autor(es): dc.contributorFundación Santa Fé de Bogotá-
Autor(es): dc.contributorPontíficia Universidad Católica de Chile-
Autor(es): dc.contributorHospital Aleman de Buenos Aires-
Autor(es): dc.contributorHospital Italiano de Buenos Aires-
Autor(es): dc.contributorClínica Las Américas-
Autor(es): dc.contributorHospital Británico de Buenos Aires-
Autor(es): dc.contributorFelicio Rocho Hospital-
Autor(es): dc.contributorPontificia Universidade Católica do Paraná (PUCPR)-
Autor(es): dc.creatorNicolás, Avellaneda-
Autor(es): dc.creatorRodrigues Coy, Claudio Saddy-
Autor(es): dc.creatorHenrique, Sarubbi Fillmann-
Autor(es): dc.creatorRogerio, Saad-Hossne-
Autor(es): dc.creatorPablo, Muñoz Juan-
Autor(es): dc.creatorRafael, García-Duperly-
Autor(es): dc.creatorFelipe, Bellolio-
Autor(es): dc.creatorNicolás, Rotholtz-
Autor(es): dc.creatorGustavo, Rossi-
Autor(es): dc.creatorRicardo, Marquez V Juan-
Autor(es): dc.creatorMariano, Cillo-
Autor(es): dc.creatorAntonio, Lacerda-Filho-
Autor(es): dc.creatorAugusto, Carrie-
Autor(es): dc.creatorBeatriz, Yuki Maruyama-
Autor(es): dc.creatorLucio, Sarubbi Fillmann-
Autor(es): dc.creatorMaria, Silvino Craveiro Marcela-
Autor(es): dc.creatorEzequiel, Ferro-
Autor(es): dc.creatorEduardo, Londoño-Schimmer-
Autor(es): dc.creatorAndrés, Iglesias-
Autor(es): dc.creatorCamila, Bras Harriott-
Autor(es): dc.creatorPablo, Campana Juan-
Autor(es): dc.creatorDaniel, Londoño Estrada-
Autor(es): dc.creatorRogini, Balachandran-
Autor(es): dc.creatorGustavo, Kotze Paulo-
Data de aceite: dc.date.accessioned2025-08-21T22:10:42Z-
Data de disponibilização: dc.date.available2025-08-21T22:10:42Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2022-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.ciresp.2023.04.001-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/247555-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/247555-
Descrição: dc.descriptionIntroduction: Complications after ileocecal resection for Crohn's disease (CD) are frequent. The aim of this study was to analyze risk factors for postoperative complications after these procedures. Materials and methods: We conducted a retrospective analysis of patients treated surgically for Crohn's disease limited to the ileocecal region during an 8-year period at 10 medical centers specialized in inflammatory bowel disease (IBD) in Latin America. Patients were allocated into 2 groups: those who presented major postoperative complications (Clavien-Dindo > II), the “postoperative complication” (POC) group; and those who did not, the “no postoperative complication” (NPOC) group. Preoperative characteristics and intraoperative variables were analyzed to identify possible factors for POC. Results: In total, 337 patients were included, with 51 (15.13%) in the POC cohort. Smoking was more prevalent among the POC patients (31.37 vs 17.83; p = 0.026), who presented more preoperative anemia (33.33 vs 17.48%; p = 0.009), required more urgent care (37.25 vs 22.38; p = 0.023), and had lower albumin levels. Complicated disease was associated with higher postoperative morbidity. POC patients had a longer operative time (188.77 vs 143.86 min; p = 0.005), more intraoperative complications (17.65 vs 4.55%; p < 0.001), and lower rates of primary anastomosis. In the multivariate analysis, both smoking and intraoperative complications were independently associated with the occurrence of major postoperative complications. Conclusion: This study shows that risk factors for complications after primary ileocecal resections for Crohn's disease in Latin America are similar to those reported elsewhere. Future efforts in the region should be aimed at improving these outcomes by controlling some of the identified factors.-
Descrição: dc.descriptionGeneral Surgery Department Hospital Universitario CEMIC-
Descrição: dc.descriptionColorectal Surgery Department Aarhus University Hospital-
Descrição: dc.descriptionColorectal Surgery Unit Campinas State University (UNICAMP)-
Descrição: dc.descriptionSurgery Department Pontificia Universidad Católica de Rio Grande do Sul-
Descrição: dc.descriptionColorectal Surgery Department Paulista State University UNESP-
Descrição: dc.descriptionColorectal Surgery Department Nueva Proctología-
Descrição: dc.descriptionColorectal Surgery Department Fundación Santa Fé de Bogotá-
Descrição: dc.descriptionColoproctology Unit Digestive Surgery Department Pontíficia Universidad Católica de Chile-
Descrição: dc.descriptionColorectal Surgery Service General Surgery Department Hospital Aleman de Buenos Aires-
Descrição: dc.descriptionSection of Colorectal Surgery Department of General Surgery Hospital Italiano de Buenos Aires-
Descrição: dc.descriptionColoproctology Institute Clínica Las Américas-
Descrição: dc.descriptionColorectal Surgery Department Hospital Británico de Buenos Aires-
Descrição: dc.descriptionDepartment of Colorectal Surgery Felicio Rocho Hospital-
Descrição: dc.descriptionColorectal Surgery Unit Pontificia Universidade Católica do Paraná (PUCPR)-
Descrição: dc.descriptionColorectal Surgery Department Paulista State University UNESP-
Idioma: dc.languageen-
Idioma: dc.languagees-
Relação: dc.relationCirugia Espanola-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectComplication-
Palavras-chave: dc.subjectCrohn-
Palavras-chave: dc.subjectIBD-
Palavras-chave: dc.subjectIleocecal-
Palavras-chave: dc.subjectResection-
Palavras-chave: dc.subjectRisk-
Título: dc.titleRisk factors for major complications after surgical treatment of primary ileocecal Crohn's disease. A multicenter Latin American experience-
Título: dc.titleFactores de riesgo para complicaciones mayores posteriores al tratamiento quirúrgico de la enfermedad de Crohn con afectación ileocecal. Trabajo retrospectivo, multicéntrico en América Latina-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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