Earlier surgery is associated to reduced postoperative morbidity in ileocaecal Crohn's disease: Results from SURGICROHN – LATAM study

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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.creatorAvellaneda, Nicolás-
Autor(es): dc.creatorCoy, Claudio Saddy Rodrigues-
Autor(es): dc.creatorFillmann, Henrique Sarubbi-
Autor(es): dc.creatorSaad-Hossne, Rogerio-
Autor(es): dc.creatorMuñoz, Juan Pablo-
Autor(es): dc.creatorGarcía-Duperly, Rafael-
Autor(es): dc.creatorBellolio, Felipe-
Autor(es): dc.creatorRotholtz, Nicolás-
Autor(es): dc.creatorRossi, Gustavo-
Autor(es): dc.creatorMarquez, Juan Ricardo-
Autor(es): dc.creatorCillo, Mariano-
Autor(es): dc.creatorLacerda-Filho, Antonio-
Autor(es): dc.creatorCarrie, Augusto-
Autor(es): dc.creatorMaruyama, Beatriz Yuki-
Autor(es): dc.creatorFillmann, Lucio Sarubbi-
Autor(es): dc.creatorFerro, Ezequiel-
Autor(es): dc.creatorLondoño-Schimmer, Eduardo-
Autor(es): dc.creatorIglesias, Andrés-
Autor(es): dc.creatorHarriott, Camila Bras-
Autor(es): dc.creatorCampana, Juan Pablo-
Autor(es): dc.creatorEstrada, Daniel Londoño-
Autor(es): dc.creatorBalachandran, Rogini-
Autor(es): dc.creatorKotze, Paulo Gustavo-
Data de aceite: dc.date.accessioned2025-08-21T16:13:02Z-
Data de disponibilização: dc.date.available2025-08-21T16:13:02Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-05-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.dld.2022.09.011-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/249323-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/249323-
Descrição: dc.descriptionBackground: Early surgical resection is an emerging concept for patients with ileocaecal Crohn's disease (CD). The aim of this study was to compare postoperative outcomes after ileocaecal resections between patients with luminal and complicated CD. Methods: A retrospective analysis of patients operated for ileocaecal CD during an 8-year period in ten tertiary referral academic centres from Latin America was performed. Patients were allocated into 2 groups: those operated for early (luminal) disease (Early Crohn's Disease -ECD-) and for complications of CD (Complicated Crohn's disease -CCD-). A comparative analysis was performed regarding short-term outcomes of surgery, considering overall postoperative complications as main outcome. Results: 337 patients were included in the analysis, 60 (17.80%) in the ECD group. Smoking and exposure to perioperative biologic drugs were more prevalent in CCD group. CCD patients had increased requirement of urgent surgery (26.71 vs. 15%, p = 0.056), longer operative time (164.25 vs. 90.53 min, p< 0.01), lower rates of primary anastomosis (90.23 vs. 100%, p = 0.012), increased rate of overall postoperative complications (33.21 vs. 16.67%, p = 0.013), more reoperations (13.36 vs. 3.33%, p = 0.026), and higher rates of major anastomotic fistulas and hospital stay. On multivariable analysis, smoking (p = 0.001,95%CI: 2.59–32.11), operative time (p = 0.022,95%CI:1–1.02), associated procedures (p = 0.036,95%CI:1.09–15.72) and intraoperative complications (p = 0.021,95%CI:1.45–92.31) were independently related to presenting postoperative complications. Conclusion: Early (luminal) ileocaecal resections were associated to lower rates of overall postoperative complications. Proper timing for surgery, avoiding delays in surgical indication can impact postoperative outcomes.-
Descrição: dc.descriptionGeneral Surgery Department Hospital Universitario CEMIC, Argentina. Galván 4102, C1431 CABA-
Descrição: dc.descriptionColorectal Surgery Department Aarhus University Hospital, Denmark. Palle Juul-Jensens Blvd. 161-
Descrição: dc.descriptionColorectal Surgery Unit Campinas State University (UNICAMP), Campinas, Brazil. Cidade Universitária Zeferino Vaz - Barão Geraldo, SP-
Descrição: dc.descriptionSurgery Department Pontificia Universidad Católica de Rio Grande do Sul, Brasil. Av. Ipiranga, 6681-Partenon, RS-
Descrição: dc.descriptionColorectal Surgery Department Paulista State University UNSEP, Brazil. Rua Quirino de Andrade, 215-Centro, SP-
Descrição: dc.descriptionColorectal Surgery Department Nueva Proctología, Argentina. Marcelo T. de Alvear 1419, C1060, CABA-
Descrição: dc.descriptionColorectal Surgery Department Fundación Santa Fé de Bogotá, Colombia. Carrera 7 No. 117 – 15-
Descrição: dc.descriptionColoproctology Unit Digestive Surgery Department Pontíficia Universidad Católica de Chile, Chile. Av. Libertador Bernardo O'Higgins 340, Región Metropolitana-
Descrição: dc.descriptionColorectal Surgery Service General Surgery Department Hospital Aleman de Buenos Aires, Argentina. Av. Pueyrredón 1640, C1118, CABA-
Descrição: dc.descriptionSection of Colorectal Surgery Department of General Surgery Hospital Italiano de Buenos Aires, Tte. Gral. Juan Domingo Perón 4190, C1199 CABA-
Descrição: dc.descriptionColoproctology Institute Clínica Las Américas, Colombia. Diagonal 75B N. 2A-80/140-
Descrição: dc.descriptionColorectal Surgery Department Hospital Británico de Buenos Aires, Argentina. Perdriel 74-
Descrição: dc.descriptionDepartment of Colorectal Surgery Felicio Rocho Hospital, Av. do Contorno, 9530-Barro Preto-Belo Horizonte-
Descrição: dc.descriptionColorectal Surgery Unit Pontificia Universidade Católica do Paraná (PUCPR), R. Imac. Conceição, 1155-Prado Velho-
Descrição: dc.descriptionColorectal Surgery Department Paulista State University UNSEP, Brazil. Rua Quirino de Andrade, 215-Centro, SP-
Formato: dc.format589-594-
Idioma: dc.languageen-
Relação: dc.relationDigestive and Liver Disease-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectColectomy-
Palavras-chave: dc.subjectCrohn's disease-
Palavras-chave: dc.subjectPostoperative complications-
Palavras-chave: dc.subjectSurgery-
Título: dc.titleEarlier surgery is associated to reduced postoperative morbidity in ileocaecal Crohn's disease: Results from SURGICROHN – LATAM study-
Tipo de arquivo: dc.typelivro digital-
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