ArticleInternational journal of colorectal disease2019
Risk factors for early postoperative complications in patients with Crohn's disease after colorectal surgery other than ileocecal resection or right hemicolectomy.
Article in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Nutrition, Nutritional Status, Micronutrients Deficiency, and Disease Course of Inflammatory Bowel Disease.Nutrients · 2023Pooled it
- Machine learning for temporary stoma after intestinal resection in surgical decision-making of Crohn's disease.BMC gastroenterology · 2025Article
- Clinical Significance of Prognostic Nutrition Index in Patients with Crohn's Disease after Primary Bowel Resection.Yonsei medical journal · 2024Article
- Predictive value of tissue calprotectin for disease recurrence after ileocecal resection in pediatric Crohn's disease.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2022Article
- Prehabilitation prior to intestinal resection in Crohn's disease patients: An opinion review.World journal of gastroenterology · 2022Review
- C-reactive protein monitoring after ileocecal resection and stoma closure reduces length of hospital stay: a prospective case-matched study in 410 patients with Crohn's disease.Techniques in coloproctology · 2022Article
- Retrospective Study of Surgical Outcomes in 60 Patients with Crohn Disease from a Single Center in Poland.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- Surgical Planning in Penetrating Abdominal Crohn's Disease.Frontiers in surgery · 2022Review
- Ileocolonic Healing After Extended Small Bowel Resection in Mice: NOD2 Deficiency Impairs Anastomotic Healing and Postoperative Outcome.Inflammatory bowel diseases · 2021Article
- Colonic Crohn's disease - decision is more important than incision: A surgical dilemma.World journal of gastrointestinal surgery · 2021Review
- [Drug treatment of chronic inflammatory bowel diseases-What must the surgeon know and perioperatively pay attention to?]Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
- Article
- Postoperative Ratio of C-Reactive Protein to Albumin as a Predictive Marker in Patients with Crohn's Disease Undergoing Bowel Resection.Gastroenterology research and practice · 2021Article
- The trend of C-Reactive protein allows a safe early discharge after surgery for Crohn's disease.Updates in surgery · 2020Article
- Causes and Prognosis of Intestinal Failure in Crohn's Disease: An 18-year Experience From a National Centre.Journal of Crohn's & colitis · 2020Article
- Prognostic significance of the Controlling Nutritional Status (CONUT) score in predicting postoperative complications in patients with Crohn's disease.Scientific reports · 2020Article
- Laparoscopic ileo-colic resection and right hemicolectomy for Crohn's disease and colon cancer: a preliminary comparative study on post-operative outcome.Updates in surgery · 2020Observational
- Correlation between age of onset and gastrointestinal stenosis in hospitalized patients with Crohn's disease.World journal of clinical cases · 2020Article
- Reducing Perioperative Risks of Surgery in Crohn's Disease.Visceral medicine · 2019Review
- Preoperative factors associated with prolonged postoperative in-hospital length of stay in patients with Crohn's disease undergoing intestinal resection or strictureplasty.International journal of colorectal disease · 2019Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate risk factors for early postoperative complications in patients with Crohn's disease (CD) after extensive colorectal resection excluding mere ileocecal resection or right hemicolectomy at a university center.
methodsA retrospective analysis of the prospectively maintained database for surgical patients with CD at our institution was performed. All consecutive patients operated between December 2009 and December 2017 were included.
resultsIn total, 126 patients were eligible for this study. Most common types of operations performed were subtotal colectomy or proctocolectomy (37.3%) and resections of the rectum (34.1%) or the sigmoid colon (14.3%). Major postoperative complications occurred in 29 patients (23.0%). The rate of local septic complications (anastomotic leak, postoperative abscess) was 11.1%. In univariate analysis, low preoperative albumin, elevated preoperative C-reactive protein (CRP), and emergency surgery were factors associated with major postoperative complications. When multivariable analysis was performed, low preoperative albumin was the only independent risk factor for the occurrence of major postoperative complications (p = 0.0033; OR 0.899). The cut-off value for albumin was 32.6 g/L.
conclusionsIn this large cohort of consecutive patients undergoing surgery of the colorectum in CD, the rate of major postoperative complications was considerably higher compared to our recently published data from patients with ileocecal resection or right hemicolectomy. Preoperative albumin is the only independent risk factor for the occurrence of major postoperative complications. Preoperative albumin levels > 32.6 g/L significantly reduce the risk for postoperative complications.
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