Postoperative complication rates between crohn’s disease and colorectal cancer patients after ileocolic resections: A comparative study

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dc.contributor.authorBoaron, Larissa
dc.contributor.authorFacchin, Luiza
dc.contributor.authorBau, Mariella
dc.contributor.authorZacharias, Patricia
dc.contributor.authorRibeiro, Diogo
dc.contributor.authorMiranda, Eron Fábio
dc.contributor.authorde Barcelos, Ivan Folchini
dc.contributor.authorRopelato, Renato Vismara
dc.contributor.authorFilho, Álvaro Steckert
dc.contributor.authorde Meira Junior, José Donizeti [UNESP]
dc.contributor.authorSassaki, Ligia [UNESP]
dc.contributor.authorSaad-Hossne, Rogério [UNESP]
dc.contributor.authorKotze, Paulo Gustavo
dc.contributor.institutionServiço de Coloproctologia (SeCoHUC)
dc.contributor.institutionGastro Medical Center
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2018-12-11T17:35:14Z
dc.date.available2018-12-11T17:35:14Z
dc.date.issued2017-10-01
dc.description.abstractIntroduction: Ileocolic resection (ICR) is the most common surgical procedure performed forCrohn’s disease (CD). Similarly, right-sided Colorectal cancer (CRC) is treated by the sameoperation. The primary aim of this study was to analyze and compare the frequency andprofile of early postoperative complications of ICR between patients with CD and CRC.Methods: Retrospective and observational study with patients submitted to ICR from twoBrazilian tertiary referral units in colorectal surgery. We included patients with diagno-sis of CD or CRC, treated with ICR, at any stage of follow-up. Variables analyzed: age atsurgery, gender, diagnosis, surgical approach (open or laparoscopy), type of anastomo-sis (hand-sewn/stapled; end-to-end/side-to-side), presence and type of early postoperativecomplications (30 days) and mortality, among others.Results: 109 patients were included, 73 with CD (67%) and 36 with CRC (33%). CD patients wereyounger (42.44 ± 12.73 years vs. 66.14 ± 11.02 years in the CRC groups, p < 0.0001) and hadmore previous resections (20 ± 27.4 in CD and 0 in CCR, p = 0.001). There were no significantdifferences between the groups in terms of overall early postoperative complications [17/73(23.3%) in the CD and 5/36 (13.9%) in the CRC groups (p = 0.250)]. There was no significantdifference between the groups in relation to anastomotic leakage (p = 0.185), surgical siteinfections (p = 0.883), other complications (0.829) and deaths (p = 0.069). Conclusions: There was no significant difference in early postoperative complications in patients with CD or CRC submitted to ICR.en
dc.description.affiliationPontifícia Universidade Católica do Paraná (PUCPR) Hospital Universitário Cajuru Serviço de Coloproctologia (SeCoHUC)
dc.description.affiliationGastro Medical Center
dc.description.affiliationUniversidade Estadual Paulista (UNESP) Ambulatório de Doenças Inflamatórias Intestinais
dc.description.affiliationUnespUniversidade Estadual Paulista (UNESP) Ambulatório de Doenças Inflamatórias Intestinais
dc.format.extent290-294
dc.identifierhttp://dx.doi.org/10.1016/j.jcol.2017.07.004
dc.identifier.citationJournal of Coloproctology, v. 37, n. 4, p. 290-294, 2017.
dc.identifier.doi10.1016/j.jcol.2017.07.004
dc.identifier.file2-s2.0-85038427984.pdf
dc.identifier.issn2237-9363
dc.identifier.scopus2-s2.0-85038427984
dc.identifier.urihttp://hdl.handle.net/11449/179448
dc.language.isoeng
dc.relation.ispartofJournal of Coloproctology
dc.relation.ispartofsjr0,167
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectColorectal cancer
dc.subjectComplication
dc.subjectCrohn’s disease
dc.subjectPostoperative
dc.titlePostoperative complication rates between crohn’s disease and colorectal cancer patients after ileocolic resections: A comparative studyen
dc.titleComplicações pós-operatórias após ressecções ileocólicas na doença de Crohn e no câncer colorretal: Um estudo comparativopt
dc.typeArtigo
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt
unesp.departmentCirurgia e Ortopedia - FMBpt

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