Crohn's Disease as a Possible Risk Factor for Failed Healing in Ileocolic Anastomoses.
Crohn’s disease
anastomotic healing
ileocolic anastomosis
risk factors
surgery
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
11 Apr 2023
11 Apr 2023
Historique:
received:
07
03
2023
revised:
06
04
2023
accepted:
10
04
2023
medline:
28
4
2023
pubmed:
28
4
2023
entrez:
28
4
2023
Statut:
epublish
Résumé
Anastomotic leakage (AL) after colorectal resections is a serious complication in abdominal surgery. Especially in patients with Crohn's disease (CD), devastating courses are observed. Various risk factors for the failure of anastomotic healing have been identified; however, whether CD itself is independently associated with anastomotic complications still remains to be validated. A retrospective analysis of a single-institution inflammatory bowel disease (IBD) database was conducted. Only patients with elective surgery and ileocolic anastomoses were included. Patients with emergency surgery, more than one anastomosis, or protective ileostomies were excluded. For the investigation of the effect of CD on AL 141, patients with CD-type L1, B1-3 were compared to 141 patients with ileocolic anastomoses for other indications. Univariate statistics and multivariate analysis with logistic regression and backward stepwise elimination were performed. CD patients had a non-significant higher percentage of AL compared to non-IBD patients (12% vs. 5%,
Identifiants
pubmed: 37109142
pii: jcm12082805
doi: 10.3390/jcm12082805
pmc: PMC10141622
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
J Crohns Colitis. 2021 Jul 5;15(7):1142-1151
pubmed: 33388775
Dis Colon Rectum. 2009 Aug;52(8):1387-94
pubmed: 19617749
Surg Today. 2014 Apr;44(4):677-84
pubmed: 23959087
J Crohns Colitis. 2013 Dec;7(11):853-67
pubmed: 23523418
Dis Colon Rectum. 2012 Sep;55(9):957-62
pubmed: 22874602
Inflamm Bowel Dis. 2008 Dec;14(12):1688-94
pubmed: 18623172
JAMA Surg. 2013 Apr;148(4):316-21
pubmed: 23715829
Dis Colon Rectum. 2011 Jul;54(7):818-25
pubmed: 21654248
Int J Colorectal Dis. 2019 Dec;34(12):2185-2188
pubmed: 31705193
Br J Surg. 2014 Jun;101(7):750-9
pubmed: 24760684
Dis Colon Rectum. 2007 Mar;50(3):331-6
pubmed: 17252288
J Gastrointest Surg. 2013 Sep;17(9):1698-707
pubmed: 23690209
Ann Surg. 2015 Mar;261(3):487-96
pubmed: 24950263
Am J Gastroenterol. 2008 Nov;103(11):2789-98
pubmed: 18684184
Nat Rev Gastroenterol Hepatol. 2022 Aug;19(8):493-507
pubmed: 35440774
Dig Surg. 2021;38(2):120-127
pubmed: 33503622
J Crohns Colitis. 2015 Jun;9(6):483-91
pubmed: 25796553
Dis Colon Rectum. 2017 Dec;60(12):1299-1306
pubmed: 29112566
Ann Surg. 2014 Dec;260(6):975-83
pubmed: 24854455
Dis Colon Rectum. 2016 Apr;59(4):316-22
pubmed: 26953990
Dis Colon Rectum. 2012 May;55(5):558-62
pubmed: 22513434
J Gastrointest Surg. 2017 Jul;21(7):1142-1152
pubmed: 28470562
J Chronic Dis. 1987;40(5):373-83
pubmed: 3558716
Infect Control Hosp Epidemiol. 1992 Oct;13(10):606-8
pubmed: 1334988
J Crohns Colitis. 2017 Feb;11(2):191-203
pubmed: 27466174
Clin Colon Rectal Surg. 2021 Oct 01;34(6):359-365
pubmed: 34853555
J Gastrointest Surg. 2019 Jun;23(6):1188-1197
pubmed: 30887300
J Crohns Colitis. 2022 Nov 23;16(11):1696-1705
pubmed: 35705188
World J Surg. 2009 May;33(5):1042-8
pubmed: 19198930
Ann Surg. 2004 Aug;240(2):205-13
pubmed: 15273542
Eur J Clin Nutr. 2014 Apr;68(4):441-6
pubmed: 24549026
Dis Colon Rectum. 2015 Aug;58(8):775-81
pubmed: 26163957
Dis Colon Rectum. 2018 Nov;61(11):1258-1266
pubmed: 30239395
J Crohns Colitis. 2015 Mar;9(3):293-301
pubmed: 25572276
Ann Surg. 2015 Aug;262(2):321-30
pubmed: 25361221
ANZ J Surg. 2006 Jul;76(7):579-85
pubmed: 16813622
Ann Surg. 2012 Sep;256(3):469-75
pubmed: 22842127
Psychol Methods. 2004 Dec;9(4):403-25
pubmed: 15598095
Front Surg. 2022 Jun 24;9:882625
pubmed: 35813046
Ann Surg. 2013 Jan;257(1):108-13
pubmed: 22968068
Dis Colon Rectum. 2018 Dec;61(12):1393-1402
pubmed: 30303885
Inflamm Bowel Dis. 2014 Feb;20(2):301-6
pubmed: 24374877
Am Surg. 2014 Sep;80(9):868-72
pubmed: 25197872
Dis Colon Rectum. 2012 Nov;55(11):1125-30
pubmed: 23044672
Ann Surg. 2018 Feb;267(2):221-228
pubmed: 29300710
Colorectal Dis. 2017 Mar;19(3):288-298
pubmed: 27474844